WEBVTT

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<v Patti Silva>Alright. Good evening everyone.</v>

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<v Jacovino, Shannon>Yeah.</v>

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<v Patti Silva>I'm Patty Silva, chair of the
council, and welcome everybody.</v>

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<v Patti Silva>Calling this meeting to order it
is 5:04 PM and it's October</v>

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<v Patti Silva>17th, 2024.</v>

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<v Patti Silva>1st Order of Business is
opportunity for public</v>

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<v Patti Silva>participation.</v>

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<v Patti Silva>Is there anybody from the public
who would like to say a few</v>

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<v Patti Silva>words?</v>

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<v Patti Silva>K There being none, we'll move
on.</v>

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<v Patti Silva>Our first item of for topics for
discussion.</v>

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<v Patti Silva>Just a reminder that the
September meeting.</v>

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<v Patti Silva>Draft transcript video are all
available on the DDS website</v>

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<v Patti Silva>under the DDS Council portion
and that there is a live link on</v>

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<v Patti Silva>our agendas to get there.</v>

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<v Patti Silva>So just a little easy easy way
to move on over there if you</v>

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<v Patti Silva>want to check things out.</v>

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<v Patti Silva>And that's where they'll always
be every month.</v>

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<v Patti Silva>So just trying to give everybody
a reminder, because things are</v>

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<v Patti Silva>still a little bit new.</v>

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<v Patti Silva>So next on our agenda, we have
Joshua Skolara here.</v>

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<v Patti Silva>To do a presentation on the
Pulse night demo, which we are</v>

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<v Patti Silva>all very interested in hearing
about. Josh, why don't you go</v>

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<v Patti Silva>ahead and introduce yourself and
I believe you have some other</v>

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<v Patti Silva>staff here with you as well.
We'd love to get to know who</v>

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<v Patti Silva>they are and.</v>

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<v Patti Silva>Very interested in hearing what
you have to say.</v>

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<v Patti Silva>Thank you.</v>

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<v Scalora, Joshua D>Thank you.</v>

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<v Scalora, Joshua D>That's wonderful.</v>

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<v Scalora, Joshua D>Thank you for inviting me.</v>

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<v Scalora, Joshua D>Thank you to to everyone here
and Commissioner Schaeff, and</v>

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<v Scalora, Joshua D>thanks to Maliki. Malika, thank
you and Murali Pillai for</v>

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<v Scalora, Joshua D>joining from the Pulse light
team. And they are with the</v>

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<v Scalora, Joshua D>company that developed the pulse
light aura application.</v>

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<v Scalora, Joshua D>So that's great.</v>

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<v Scalora, Joshua D>You have one of the local
subject matter experts here.</v>

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<v Scalora, Joshua D>That's me.</v>

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<v Scalora, Joshua D>My team uses the pulse light.</v>

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<v Scalora, Joshua D>Location. And I'm gonna gonna
talk to you about that today,</v>

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<v Scalora, Joshua D>but we also have experts from
the team that developed the</v>

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<v Scalora, Joshua D>application.</v>

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<v Scalora, Joshua D>So Malika, would you like to
introduce yourself?</v>

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<v Mallika Thanky>Oh, yes. Hi, thank you.</v>

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<v Mallika Thanky>My name's malika.</v>

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<v Mallika Thanky>Thank you.</v>

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<v Mallika Thanky>I'm with Pulsight and I work a
lot on the product side of</v>

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<v Mallika Thanky>things, so I'm excited to kind
of hear what you guys think</v>

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<v Mallika Thanky>about this, but really I'm more
here to just see how these DD</v>

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<v Mallika Thanky>Council meetings go and kind of
hear what people are saying and.</v>

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<v Mallika Thanky>What are the issues going on?</v>

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<v Mallika Thanky>So thank you for having me.</v>

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<v Mallika Thanky>I appreciate it.</v>

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<v Scalora, Joshua D>Thank you. And also Murali,
would you like to say hello?</v>

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<v Murali Pillai>Sure. Good afternoon everybody.</v>

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<v Murali Pillai>I'm Raleigh lay news member of
Paul's life, but been working</v>

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<v Murali Pillai>with home community based
services and LTSS programs</v>

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<v Murali Pillai>probably since about 2004 in a
variety of capacities across the</v>

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<v Murali Pillai>country.</v>

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<v Murali Pillai>So happy to participate and
listen in and eager to learn</v>

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<v Murali Pillai>more about what the Council's
focused on here in Connecticut.</v>

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<v Murali Pillai>Thank you.</v>

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<v Scalora, Joshua D>Thank you. Before I start, would
Commissioner Schaeff like to say</v>

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<v Scalora, Joshua D>anything?</v>

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<v Scalora, Joshua D>He's been a pivotal part in the
creation of the what you're</v>

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<v Scalora, Joshua D>about to see.</v>

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<v Scalora, Joshua D>So he he may have something just
to cue me up here.</v>

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<v Scheff, Jordan A>So since we have some relatively
newer members to the Council who</v>

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<v Scheff, Jordan A>haven't heard my story on this,
I'm going to try and do it in</v>

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<v Scheff, Jordan A>under a minute.</v>

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<v Scheff, Jordan A>So a number of years ago we
faced inspection from the office</v>

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<v Scheff, Jordan A>Inspector General following
Hartford current centerfold</v>

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<v Scheff, Jordan A>article on undetected abuse and
neglect or unreported abuse and</v>

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<v Scheff, Jordan A>neglect.</v>

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<v Scheff, Jordan A>And it started a cascade of
events and after several years</v>

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<v Scheff, Jordan A>of OIG audit, we were in the.</v>

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<v Scheff, Jordan A>Needing to figure out a way that
we could.</v>

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<v Scheff, Jordan A>Track unreported incidents and
and try and learn to identify</v>

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<v Scheff, Jordan A>them and what we were able to do
is pulse light was already</v>

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<v Scheff, Jordan A>engaged on a waste, fraud and
abuse prevention at DSS.</v>

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<v Scheff, Jordan A>More on the financial side of
things and we were looking to</v>

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<v Scheff, Jordan A>take their work.</v>

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<v Scheff, Jordan A>And shape it for for our needs.</v>

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<v Scheff, Jordan A>And I went to a demo where they
had used a whole bunch of</v>

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<v Scheff, Jordan A>Medicaid data points.</v>

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<v Scheff, Jordan A>To help run what now looks a
like a rudimentary slide and and</v>

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<v Scheff, Jordan A>and provide some information.</v>

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<v Scheff, Jordan A>And it was pretty startling.</v>

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<v Scheff, Jordan A>Because what I realized was that
I lost a lot of sleep over</v>

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<v Scheff, Jordan A>knowing that there were things I
didn't know.</v>

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<v Scheff, Jordan A>And then I saw the presentation
from them and I realized some of</v>

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<v Scheff, Jordan A>the things that kept me up at
night I could know about if I</v>

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<v Scheff, Jordan A>had a way to use that data to
inform me, to inform the</v>

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<v Scheff, Jordan A>department to inform.</v>

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<v Scheff, Jordan A>Providers.</v>

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<v Scheff, Jordan A>About issues and it has since
grown far beyond the scope of</v>

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<v Scheff, Jordan A>the original ASK, and our
partnership with Pulse light has</v>

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<v Scheff, Jordan A>grown.</v>

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<v Scheff, Jordan A>And we have a very close
partnership.</v>

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<v Scheff, Jordan A>But Josh and Malika and others
spend a lot of time figuring out</v>

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<v Scheff, Jordan A>what what could we add? What
could?</v>

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<v Scheff, Jordan A>What else do we need to know
that we don't know?</v>

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<v Scheff, Jordan A>Along the route.</v>

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<v Scheff, Jordan A>Their their their founder and I
had a conversation about how</v>

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<v Scheff, Jordan A>they might improve the work they
do, and I mean not with us</v>

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<v Scheff, Jordan A>tonight. But I suggested that
they come out and visit site</v>

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<v Scheff, Jordan A>locations and see what a day
program looks like and see what</v>

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<v Scheff, Jordan A>a residential program.</v>

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<v Scheff, Jordan A>Looks like.</v>

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<v Scheff, Jordan A>See what an institutional
setting looks like so they could</v>

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<v Scheff, Jordan A>ground some of their data
science and and and it work in</v>

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<v Scheff, Jordan A>the very nature of the work that
we do.</v>

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<v Scheff, Jordan A>And I think that they found that
really beneficial.</v>

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<v Scheff, Jordan A>They can now see the impact.</v>

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<v Scheff, Jordan A>They can see the people, they
can relate diagnostic codes to</v>

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<v Scheff, Jordan A>people's lives and why this work
has become so important, and I'm</v>

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<v Scheff, Jordan A>going to get off my pulse light
bandwagon in a second and turn</v>

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<v Scheff, Jordan A>it back to you, Josh. I. It's
also very interesting because</v>

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<v Scheff, Jordan A>it's a.</v>

e8643036-4412-415e-8387-a8e17af552f2/887-0
00:06:16.925 --> 00:06:20.172
<v Scheff, Jordan A>Woman owned Woman founded
Minority owned Company and</v>

e8643036-4412-415e-8387-a8e17af552f2/887-1
00:06:20.172 --> 00:06:24.030
<v Scheff, Jordan A>Malika, I think you're also vice
president in addition to your</v>

e8643036-4412-415e-8387-a8e17af552f2/887-2
00:06:24.030 --> 00:06:26.725
<v Scheff, Jordan A>other hats or a title, something
like that.</v>

e8643036-4412-415e-8387-a8e17af552f2/898-0
00:06:27.785 --> 00:06:30.865
<v Mallika Thanky>Yes, Vice president of product
strategy, I think.</v>

e8643036-4412-415e-8387-a8e17af552f2/893-0
00:06:28.925 --> 00:06:29.085
<v Scheff, Jordan A>Yeah.</v>

e8643036-4412-415e-8387-a8e17af552f2/902-0
00:06:31.775 --> 00:06:32.695
<v Scheff, Jordan A>Which is just terrific.</v>

e8643036-4412-415e-8387-a8e17af552f2/933-0
00:06:32.695 --> 00:06:36.630
<v Scheff, Jordan A>So we've had a long term
partnership and Irene and I like</v>

e8643036-4412-415e-8387-a8e17af552f2/933-1
00:06:36.630 --> 00:06:40.769
<v Scheff, Jordan A>to leave Josh and Malika alone
to conjure up new asks of the</v>

e8643036-4412-415e-8387-a8e17af552f2/933-2
00:06:40.769 --> 00:06:43.415
<v Scheff, Jordan A>data and to have it tell more
stories.</v>

e8643036-4412-415e-8387-a8e17af552f2/953-0
00:06:43.415 --> 00:06:47.090
<v Scheff, Jordan A>And they do a phenomenal job and
I'm hoping you'll get a glimpse</v>

e8643036-4412-415e-8387-a8e17af552f2/953-1
00:06:47.090 --> 00:06:50.255
<v Scheff, Jordan A>into that in the presentation.
They're going to do now.</v>

e8643036-4412-415e-8387-a8e17af552f2/959-0
00:06:50.975 --> 00:06:52.903
<v Scheff, Jordan A>And thank you for the
opportunity to tee that up,</v>

e8643036-4412-415e-8387-a8e17af552f2/959-1
00:06:52.903 --> 00:06:53.095
<v Scheff, Jordan A>Josh.</v>

e8643036-4412-415e-8387-a8e17af552f2/982-0
00:06:56.235 --> 00:07:00.641
<v Scalora, Joshua D>Thank you so much, Commissioner,
chef and I would just like to</v>

e8643036-4412-415e-8387-a8e17af552f2/982-1
00:07:00.641 --> 00:07:04.697
<v Scalora, Joshua D>say yes, the the pulse light
team has walked with us. You</v>

e8643036-4412-415e-8387-a8e17af552f2/982-2
00:07:04.697 --> 00:07:05.955
<v Scalora, Joshua D>know, we've spent.</v>

e8643036-4412-415e-8387-a8e17af552f2/990-0
00:07:07.525 --> 00:07:08.805
<v Scalora, Joshua D>Probably hundreds of hours now.</v>

e8643036-4412-415e-8387-a8e17af552f2/1019-0
00:07:08.805 --> 00:07:13.724
<v Scalora, Joshua D>It's been several years and we
did product development together</v>

e8643036-4412-415e-8387-a8e17af552f2/1019-1
00:07:13.724 --> 00:07:18.566
<v Scalora, Joshua D>really and then we've been using
the tool and continue to meet</v>

e8643036-4412-415e-8387-a8e17af552f2/1019-2
00:07:18.566 --> 00:07:22.485
<v Scalora, Joshua D>with the the team on a pretty
much a weekly basis.</v>

e8643036-4412-415e-8387-a8e17af552f2/1042-0
00:07:24.165 --> 00:07:27.945
<v Scalora, Joshua D>We continue to work on improving
the product that I'm about to</v>

e8643036-4412-415e-8387-a8e17af552f2/1042-1
00:07:27.945 --> 00:07:31.605
<v Scalora, Joshua D>share with you and what I want
you to know is that it's not.</v>

e8643036-4412-415e-8387-a8e17af552f2/1045-0
00:07:32.095 --> 00:07:32.655
<v Scalora, Joshua D>I'm done.</v>

e8643036-4412-415e-8387-a8e17af552f2/1067-0
00:07:33.015 --> 00:07:37.431
<v Scalora, Joshua D>So and a lot of the new
capabilities we've that we've</v>

e8643036-4412-415e-8387-a8e17af552f2/1067-1
00:07:37.431 --> 00:07:42.582
<v Scalora, Joshua D>gotten through the use of what
we'll refer to as aura, they're</v>

e8643036-4412-415e-8387-a8e17af552f2/1067-2
00:07:42.582 --> 00:07:44.135
<v Scalora, Joshua D>new for us as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/1088-0
00:07:45.685 --> 00:07:49.501
<v Scalora, Joshua D>So we're learning new ways to
use this information and without</v>

e8643036-4412-415e-8387-a8e17af552f2/1088-1
00:07:49.501 --> 00:07:52.045
<v Scalora, Joshua D>further ado, I'll start the
presentation.</v>

e8643036-4412-415e-8387-a8e17af552f2/1108-0
00:07:52.725 --> 00:07:57.272
<v Scalora, Joshua D>I believe that I have about 15
minutes of presentation and that</v>

e8643036-4412-415e-8387-a8e17af552f2/1108-1
00:07:57.272 --> 00:08:01.605
<v Scalora, Joshua D>that I expect there might be
some discussion afterwards and.</v>

e8643036-4412-415e-8387-a8e17af552f2/1130-0
00:08:03.245 --> 00:08:07.538
<v Scalora, Joshua D>I also like to say thank you for
inviting me and this is my first</v>

e8643036-4412-415e-8387-a8e17af552f2/1130-1
00:08:07.538 --> 00:08:11.765
<v Scalora, Joshua D>discussion with you about this,
but doesn't have to be the last.</v>

e8643036-4412-415e-8387-a8e17af552f2/1152-0
00:08:11.765 --> 00:08:16.233
<v Scalora, Joshua D>So there might be things like
follow up info you would like or</v>

e8643036-4412-415e-8387-a8e17af552f2/1152-1
00:08:16.233 --> 00:08:20.560
<v Scalora, Joshua D>questions or further information
we can dive into in another</v>

e8643036-4412-415e-8387-a8e17af552f2/1152-2
00:08:20.560 --> 00:08:21.765
<v Scalora, Joshua D>visit, all right.</v>

e8643036-4412-415e-8387-a8e17af552f2/1155-0
00:08:21.765 --> 00:08:22.845
<v Scalora, Joshua D>Thank you so much.</v>

e8643036-4412-415e-8387-a8e17af552f2/1164-0
00:08:23.365 --> 00:08:27.765
<v Scalora, Joshua D>With that, I'm going to start
sharing my screen.</v>

e8643036-4412-415e-8387-a8e17af552f2/1169-0
00:08:27.845 --> 00:08:29.645
<v Scalora, Joshua D>I'll look for confirmation.</v>

e8643036-4412-415e-8387-a8e17af552f2/1176-0
00:08:30.445 --> 00:08:32.805
<v Scalora, Joshua D>Verbal confirmation that people
can see my screen.</v>

e8643036-4412-415e-8387-a8e17af552f2/1191-0
00:08:33.595 --> 00:08:37.643
<v Scalora, Joshua D>Alright. And in visual I got
both OK and now I'm going full</v>

e8643036-4412-415e-8387-a8e17af552f2/1181-0
00:08:33.855 --> 00:08:34.335
<v Bronson, Kevin>Yes.</v>

e8643036-4412-415e-8387-a8e17af552f2/1191-1
00:08:37.643 --> 00:08:38.115
<v Scalora, Joshua D>screen.</v>

e8643036-4412-415e-8387-a8e17af552f2/1196-0
00:08:38.195 --> 00:08:39.435
<v Scalora, Joshua D>Alright, excellent.</v>

e8643036-4412-415e-8387-a8e17af552f2/1219-0
00:08:40.035 --> 00:08:44.646
<v Scalora, Joshua D>So we're gonna talk about how
powerful technology that pulsate</v>

e8643036-4412-415e-8387-a8e17af552f2/1219-1
00:08:44.646 --> 00:08:49.184
<v Scalora, Joshua D>developed helps Connecticut,
DDS, enhance the quality of care</v>

e8643036-4412-415e-8387-a8e17af552f2/1219-2
00:08:49.184 --> 00:08:50.355
<v Scalora, Joshua D>for individuals.</v>

e8643036-4412-415e-8387-a8e17af552f2/1237-0
00:08:53.465 --> 00:08:56.675
<v Scalora, Joshua D>We'll talk a little bit about
what the catalyst was. I think</v>

e8643036-4412-415e-8387-a8e17af552f2/1237-1
00:08:56.675 --> 00:08:59.305
<v Scalora, Joshua D>Commissioner Chef really
summarized it perfectly.</v>

e8643036-4412-415e-8387-a8e17af552f2/1244-0
00:08:59.705 --> 00:09:01.425
<v Scalora, Joshua D>We'll revisit that a little bit.</v>

e8643036-4412-415e-8387-a8e17af552f2/1257-0
00:09:01.785 --> 00:09:05.380
<v Scalora, Joshua D>How we we kind of got started
and what we call the automatic</v>

e8643036-4412-415e-8387-a8e17af552f2/1257-1
00:09:05.380 --> 00:09:08.385
<v Scalora, Joshua D>ingest and analysis of claims
and that means that.</v>

e8643036-4412-415e-8387-a8e17af552f2/1290-0
00:09:09.925 --> 00:09:14.276
<v Scalora, Joshua D>There's a bunch of data that's
getting sent to pulse light from</v>

e8643036-4412-415e-8387-a8e17af552f2/1290-1
00:09:14.276 --> 00:09:18.491
<v Scalora, Joshua D>different sources, and they're
taking it in in their tool and</v>

e8643036-4412-415e-8387-a8e17af552f2/1290-2
00:09:18.491 --> 00:09:22.705
<v Scalora, Joshua D>analyzing it for us and then
feeding it back to us as analyze</v>

e8643036-4412-415e-8387-a8e17af552f2/1290-3
00:09:22.705 --> 00:09:23.045
<v Scalora, Joshua D>data.</v>

e8643036-4412-415e-8387-a8e17af552f2/1309-0
00:09:24.355 --> 00:09:28.069
<v Scalora, Joshua D>We'll talk about how we're using
it to help people today and then</v>

e8643036-4412-415e-8387-a8e17af552f2/1309-1
00:09:28.069 --> 00:09:29.475
<v Scalora, Joshua D>how else we could use it.</v>

e8643036-4412-415e-8387-a8e17af552f2/1312-0
00:09:29.475 --> 00:09:31.195
<v Scalora, Joshua D>What are some other things that
we could do?</v>

e8643036-4412-415e-8387-a8e17af552f2/1342-0
00:09:33.525 --> 00:09:37.871
<v Scalora, Joshua D>I can't monitor anything other
than looking at the full screen,</v>

e8643036-4412-415e-8387-a8e17af552f2/1342-1
00:09:37.871 --> 00:09:42.216
<v Scalora, Joshua D>so if anyone anything comes up
in the chat or if there's a hand</v>

e8643036-4412-415e-8387-a8e17af552f2/1342-2
00:09:42.216 --> 00:09:46.426
<v Scalora, Joshua D>up or anything, if someone could
help with that. Thank you so</v>

e8643036-4412-415e-8387-a8e17af552f2/1342-3
00:09:46.426 --> 00:09:46.765
<v Scalora, Joshua D>much.</v>

e8643036-4412-415e-8387-a8e17af552f2/1349-0
00:09:47.805 --> 00:09:48.365
<v Scheff, Jordan A>I will I.</v>

e8643036-4412-415e-8387-a8e17af552f2/1347-0
00:09:48.135 --> 00:09:48.695
<v Tsegai, Wesaneit>Goodbye, Josh.</v>

e8643036-4412-415e-8387-a8e17af552f2/1353-0
00:09:48.525 --> 00:09:50.325
<v Scheff, Jordan A>I will. I I I'm sorry, Wes.</v>

e8643036-4412-415e-8387-a8e17af552f2/1367-0
00:09:50.325 --> 00:09:52.848
<v Scheff, Jordan A>I'm stepping on your words, but
I think Malika may want to hear</v>

e8643036-4412-415e-8387-a8e17af552f2/1367-1
00:09:52.848 --> 00:09:53.045
<v Scheff, Jordan A>this.</v>

e8643036-4412-415e-8387-a8e17af552f2/1379-0
00:09:53.045 --> 00:09:55.828
<v Scheff, Jordan A>Adriana Ramirez is one of our
council members and the</v>

e8643036-4412-415e-8387-a8e17af552f2/1379-1
00:09:55.828 --> 00:09:58.765
<v Scheff, Jordan A>President of Connecticut Family
Support Network as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/1395-0
00:09:59.605 --> 00:10:02.339
<v Scheff, Jordan A>And she used the phrase humanize
the data. And I think Irene May</v>

e8643036-4412-415e-8387-a8e17af552f2/1395-1
00:10:02.339 --> 00:10:03.685
<v Scheff, Jordan A>want to hear that at some point.</v>

e8643036-4412-415e-8387-a8e17af552f2/1401-0
00:10:06.855 --> 00:10:08.215
<v Scalora, Joshua D>Yes, I think so.</v>

e8643036-4412-415e-8387-a8e17af552f2/1450-0
00:10:08.215 --> 00:10:12.572
<v Scalora, Joshua D>I think it's been an amazing
date journey for us with this</v>

e8643036-4412-415e-8387-a8e17af552f2/1450-1
00:10:12.572 --> 00:10:17.077
<v Scalora, Joshua D>technology provider. For them
learning about our culture and</v>

e8643036-4412-415e-8387-a8e17af552f2/1450-2
00:10:17.077 --> 00:10:21.360
<v Scalora, Joshua D>the care that we have for
individuals and how intentional</v>

e8643036-4412-415e-8387-a8e17af552f2/1450-3
00:10:21.360 --> 00:10:25.200
<v Scalora, Joshua D>we really needed to be to use
data to to find these</v>

e8643036-4412-415e-8387-a8e17af552f2/1450-4
00:10:25.200 --> 00:10:29.335
<v Scalora, Joshua D>potentially unreported incidents
and do something with.</v>

e8643036-4412-415e-8387-a8e17af552f2/1458-0
00:10:29.335 --> 00:10:32.295
<v Scalora, Joshua D>It so it's been a great journey
with them as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/1465-0
00:10:33.885 --> 00:10:35.085
<v Scalora, Joshua D>What got us here?</v>

e8643036-4412-415e-8387-a8e17af552f2/1474-0
00:10:35.085 --> 00:10:37.828
<v Scalora, Joshua D>What was the catalyst
Commissioner Schaeff talked</v>

e8643036-4412-415e-8387-a8e17af552f2/1474-1
00:10:37.828 --> 00:10:38.925
<v Scalora, Joshua D>about the OIG on it.</v>

e8643036-4412-415e-8387-a8e17af552f2/1493-0
00:10:40.615 --> 00:10:43.762
<v Scalora, Joshua D>Here to talk about the
intricacies of the settings</v>

e8643036-4412-415e-8387-a8e17af552f2/1493-1
00:10:43.762 --> 00:10:46.415
<v Scalora, Joshua D>rule, the joint report or the
access rule.</v>

e8643036-4412-415e-8387-a8e17af552f2/1500-0
00:10:46.415 --> 00:10:50.335
<v Scalora, Joshua D>But they are influential on this
discussion.</v>

e8643036-4412-415e-8387-a8e17af552f2/1525-0
00:10:50.855 --> 00:10:55.107
<v Scalora, Joshua D>The settings rule was a change
in the quality framework for the</v>

e8643036-4412-415e-8387-a8e17af552f2/1525-1
00:10:55.107 --> 00:10:59.093
<v Scalora, Joshua D>Medicaid waiver system, and it
introduced some specific new</v>

e8643036-4412-415e-8387-a8e17af552f2/1525-2
00:10:59.093 --> 00:11:02.415
<v Scalora, Joshua D>reporting requirements around
critical incidents.</v>

e8643036-4412-415e-8387-a8e17af552f2/1544-0
00:11:04.485 --> 00:11:08.390
<v Scalora, Joshua D>There was 3 audits here,
Connecticut, Mass and Maine, and</v>

e8643036-4412-415e-8387-a8e17af552f2/1544-1
00:11:08.390 --> 00:11:11.688
<v Scalora, Joshua D>then a joint report was issued
with findings and</v>

e8643036-4412-415e-8387-a8e17af552f2/1544-2
00:11:11.688 --> 00:11:12.765
<v Scalora, Joshua D>recommendations.</v>

e8643036-4412-415e-8387-a8e17af552f2/1572-0
00:11:13.325 --> 00:11:17.604
<v Scalora, Joshua D>For using claims to find
unreported incidents, that is</v>

e8643036-4412-415e-8387-a8e17af552f2/1572-1
00:11:17.604 --> 00:11:21.649
<v Scalora, Joshua D>the methodology that was
utilized in the audit, the</v>

e8643036-4412-415e-8387-a8e17af552f2/1572-2
00:11:21.649 --> 00:11:24.605
<v Scalora, Joshua D>Office of Inspector General
received.</v>

e8643036-4412-415e-8387-a8e17af552f2/1609-0
00:11:26.165 --> 00:11:30.698
<v Scalora, Joshua D>A list of individuals that lived
in DDS supported locations for a</v>

e8643036-4412-415e-8387-a8e17af552f2/1609-1
00:11:30.698 --> 00:11:35.162
<v Scalora, Joshua D>time period, and then they went
to Department of Social Services</v>

e8643036-4412-415e-8387-a8e17af552f2/1609-2
00:11:35.162 --> 00:11:39.214
<v Scalora, Joshua D>and from their Medicaid data
warehouse got claims the full</v>

e8643036-4412-415e-8387-a8e17af552f2/1609-3
00:11:39.214 --> 00:11:43.678
<v Scalora, Joshua D>claim set for those individuals
for those individuals with those</v>

e8643036-4412-415e-8387-a8e17af552f2/1609-4
00:11:43.678 --> 00:11:44.845
<v Scalora, Joshua D>Medicaid numbers.</v>

e8643036-4412-415e-8387-a8e17af552f2/1619-0
00:11:45.485 --> 00:11:48.165
<v Scalora, Joshua D>Medicaid IDs for that time
period.</v>

e8643036-4412-415e-8387-a8e17af552f2/1627-0
00:11:48.165 --> 00:11:50.445
<v Scalora, Joshua D>And they they did a gap
analysis.</v>

e8643036-4412-415e-8387-a8e17af552f2/1670-0
00:11:50.445 --> 00:11:54.360
<v Scalora, Joshua D>They found things that were an
emergency room visit or a</v>

e8643036-4412-415e-8387-a8e17af552f2/1670-1
00:11:54.360 --> 00:11:58.549
<v Scalora, Joshua D>hospital visit or admission even
that looked like it met our</v>

e8643036-4412-415e-8387-a8e17af552f2/1670-2
00:11:58.549 --> 00:12:02.944
<v Scalora, Joshua D>requirement for being reported
to us. And then they asked us to</v>

e8643036-4412-415e-8387-a8e17af552f2/1670-3
00:12:02.944 --> 00:12:07.065
<v Scalora, Joshua D>produce the report that should
have accompanied that and in</v>

e8643036-4412-415e-8387-a8e17af552f2/1670-4
00:12:07.065 --> 00:12:09.125
<v Scalora, Joshua D>some cases we weren't able to.</v>

e8643036-4412-415e-8387-a8e17af552f2/1678-0
00:12:09.125 --> 00:12:11.125
<v Scalora, Joshua D>And that's really where we
started to realize.</v>

e8643036-4412-415e-8387-a8e17af552f2/1691-0
00:12:11.965 --> 00:12:15.467
<v Scalora, Joshua D>There's obviously so much more
to the picture than what people</v>

e8643036-4412-415e-8387-a8e17af552f2/1691-1
00:12:15.467 --> 00:12:16.245
<v Scalora, Joshua D>tell us about.</v>

e8643036-4412-415e-8387-a8e17af552f2/1705-0
00:12:17.335 --> 00:12:20.591
<v Scalora, Joshua D>But if we only know what people
tell us about, we'll never know</v>

e8643036-4412-415e-8387-a8e17af552f2/1705-1
00:12:20.591 --> 00:12:21.455
<v Scalora, Joshua D>the full picture.</v>

e8643036-4412-415e-8387-a8e17af552f2/1708-0
00:12:21.455 --> 00:12:23.255
<v Scalora, Joshua D>And we knew we needed to do
more.</v>

e8643036-4412-415e-8387-a8e17af552f2/1740-0
00:12:24.965 --> 00:12:29.516
<v Scalora, Joshua D>There were several other audits,
as you can see, that led to a</v>

e8643036-4412-415e-8387-a8e17af552f2/1740-1
00:12:29.516 --> 00:12:34.067
<v Scalora, Joshua D>lot more learning from the US
Office of Inspector General, but</v>

e8643036-4412-415e-8387-a8e17af552f2/1740-2
00:12:34.067 --> 00:12:38.184
<v Scalora, Joshua D>also CMS. They're not the same
organization. They're two</v>

e8643036-4412-415e-8387-a8e17af552f2/1740-3
00:12:38.184 --> 00:12:39.845
<v Scalora, Joshua D>different federal orgs.</v>

e8643036-4412-415e-8387-a8e17af552f2/1741-0
00:12:39.845 --> 00:12:41.285
<v Scalora, Joshua D>But they work.</v>

e8643036-4412-415e-8387-a8e17af552f2/1752-0
00:12:42.485 --> 00:12:47.306
<v Scalora, Joshua D>They work closely together and
they're both interested in this</v>

e8643036-4412-415e-8387-a8e17af552f2/1752-1
00:12:47.306 --> 00:12:47.765
<v Scalora, Joshua D>issue.</v>

e8643036-4412-415e-8387-a8e17af552f2/1791-0
00:12:48.085 --> 00:12:52.562
<v Scalora, Joshua D>You and they've issued the joint
report as a group of federal</v>

e8643036-4412-415e-8387-a8e17af552f2/1791-1
00:12:52.562 --> 00:12:56.678
<v Scalora, Joshua D>agencies and a lot of the
findings and learning that the</v>

e8643036-4412-415e-8387-a8e17af552f2/1791-2
00:12:56.678 --> 00:13:00.866
<v Scalora, Joshua D>federal government has done in
the interim has led to the</v>

e8643036-4412-415e-8387-a8e17af552f2/1791-3
00:13:00.866 --> 00:13:05.271
<v Scalora, Joshua D>access rule and the access rule
is the next iteration of the</v>

e8643036-4412-415e-8387-a8e17af552f2/1791-4
00:13:05.271 --> 00:13:07.365
<v Scalora, Joshua D>waiver quality framework Rev.</v>

e8643036-4412-415e-8387-a8e17af552f2/1814-0
00:13:08.085 --> 00:13:11.839
<v Scalora, Joshua D>And it updates definitions of
critical incidents across all</v>

e8643036-4412-415e-8387-a8e17af552f2/1814-1
00:13:11.839 --> 00:13:15.592
<v Scalora, Joshua D>waiver types, not only waivers
for people with intellectual</v>

e8643036-4412-415e-8387-a8e17af552f2/1814-2
00:13:15.592 --> 00:13:16.405
<v Scalora, Joshua D>disabilities.</v>

e8643036-4412-415e-8387-a8e17af552f2/1818-0
00:13:17.205 --> 00:13:18.285
<v Scalora, Joshua D>But every single.</v>

e8643036-4412-415e-8387-a8e17af552f2/1827-0
00:13:18.875 --> 00:13:20.555
<v Scalora, Joshua D>Medicaid waiver type.</v>

e8643036-4412-415e-8387-a8e17af552f2/1832-0
00:13:20.995 --> 00:13:23.915
<v Scalora, Joshua D>It creates one national
standard.</v>

e8643036-4412-415e-8387-a8e17af552f2/1854-0
00:13:24.075 --> 00:13:28.758
<v Scalora, Joshua D>It's a minimum standard that can
be layered on and enhanced by</v>

e8643036-4412-415e-8387-a8e17af552f2/1854-1
00:13:28.758 --> 00:13:33.441
<v Scalora, Joshua D>states, and it's expected to be
added to, but at a minimum the</v>

e8643036-4412-415e-8387-a8e17af552f2/1854-2
00:13:33.441 --> 00:13:34.035
<v Scalora, Joshua D>the new.</v>

e8643036-4412-415e-8387-a8e17af552f2/1890-0
00:13:35.605 --> 00:13:40.397
<v Scalora, Joshua D>The new standard in the future
will be a critical incident is</v>

e8643036-4412-415e-8387-a8e17af552f2/1890-1
00:13:40.397 --> 00:13:44.338
<v Scalora, Joshua D>an incident where there is
suspicion or reasonable</v>

e8643036-4412-415e-8387-a8e17af552f2/1890-2
00:13:44.338 --> 00:13:48.125
<v Scalora, Joshua D>suspicion of abuse, neglect or
exploitation. So.</v>

e8643036-4412-415e-8387-a8e17af552f2/1916-0
00:13:48.705 --> 00:13:53.752
<v Scalora, Joshua D>We had these findings that led
to us realizing that we needed</v>

e8643036-4412-415e-8387-a8e17af552f2/1916-1
00:13:53.752 --> 00:13:58.065
<v Scalora, Joshua D>to use Medicaid claims to find
unreported incidents.</v>

e8643036-4412-415e-8387-a8e17af552f2/1923-0
00:13:58.065 --> 00:14:02.265
<v Scalora, Joshua D>And we tried to do it ourselves.
It was really challenging.</v>

e8643036-4412-415e-8387-a8e17af552f2/1968-0
00:14:03.675 --> 00:14:08.021
<v Scalora, Joshua D>While we were working on that,
we learned as Commissioner Chef</v>

e8643036-4412-415e-8387-a8e17af552f2/1968-1
00:14:08.021 --> 00:14:11.677
<v Scalora, Joshua D>mentioned, that our Department
of Social Services in</v>

e8643036-4412-415e-8387-a8e17af552f2/1968-2
00:14:11.677 --> 00:14:15.678
<v Scalora, Joshua D>Connecticut had partnered with
the company Pulse Light to</v>

e8643036-4412-415e-8387-a8e17af552f2/1968-3
00:14:15.678 --> 00:14:19.955
<v Scalora, Joshua D>develop software to help detect
fraud, waste and abuse in the</v>

e8643036-4412-415e-8387-a8e17af552f2/1968-4
00:14:19.955 --> 00:14:23.681
<v Scalora, Joshua D>Medicaid claims. And
functionally, what that meant is</v>

e8643036-4412-415e-8387-a8e17af552f2/1968-5
00:14:23.681 --> 00:14:24.715
<v Scalora, Joshua D>that pulse lay.</v>

e8643036-4412-415e-8387-a8e17af552f2/1985-0
00:14:24.715 --> 00:14:28.540
<v Scalora, Joshua D>An external company in a cloud
based company was getting the</v>

e8643036-4412-415e-8387-a8e17af552f2/1985-1
00:14:28.540 --> 00:14:31.675
<v Scalora, Joshua D>full Medicaid claim set from
Connecticut already.</v>

e8643036-4412-415e-8387-a8e17af552f2/1987-0
00:14:32.485 --> 00:14:32.925
<v Scalora, Joshua D>And.</v>

e8643036-4412-415e-8387-a8e17af552f2/2010-0
00:14:33.615 --> 00:14:38.186
<v Scalora, Joshua D>Our data was within the data
that they already were getting,</v>

e8643036-4412-415e-8387-a8e17af552f2/2010-1
00:14:38.186 --> 00:14:42.233
<v Scalora, Joshua D>so that that posed a unique
opportunity to leverage a</v>

e8643036-4412-415e-8387-a8e17af552f2/2010-2
00:14:42.233 --> 00:14:45.455
<v Scalora, Joshua D>solution that was built around a
data set.</v>

e8643036-4412-415e-8387-a8e17af552f2/2031-0
00:14:47.005 --> 00:14:52.987
<v Scalora, Joshua D>And update the the rules
etcetera. To instead find</v>

e8643036-4412-415e-8387-a8e17af552f2/2031-1
00:14:52.987 --> 00:14:55.685
<v Scalora, Joshua D>fraudulent billing now.</v>

e8643036-4412-415e-8387-a8e17af552f2/2033-0
00:14:55.685 --> 00:14:58.765
<v Scalora, Joshua D>Find potential unreported
incidents.</v>

e8643036-4412-415e-8387-a8e17af552f2/2047-0
00:15:00.405 --> 00:15:03.409
<v Scalora, Joshua D>While we were doing that, we
were trying very hard to use</v>

e8643036-4412-415e-8387-a8e17af552f2/2047-1
00:15:03.409 --> 00:15:05.325
<v Scalora, Joshua D>that same data to find these
things.</v>

e8643036-4412-415e-8387-a8e17af552f2/2052-0
00:15:05.845 --> 00:15:07.245
<v Scalora, Joshua D>We just found too many.</v>

e8643036-4412-415e-8387-a8e17af552f2/2071-0
00:15:07.245 --> 00:15:10.915
<v Scalora, Joshua D>That was the problem. We didn't
have a way to wade through all</v>

e8643036-4412-415e-8387-a8e17af552f2/2071-1
00:15:10.915 --> 00:15:13.245
<v Scalora, Joshua D>the data to organize and
prioritize it.</v>

e8643036-4412-415e-8387-a8e17af552f2/2086-0
00:15:13.645 --> 00:15:18.059
<v Scalora, Joshua D>And there are so many lines of
data that we were asked to print</v>

e8643036-4412-415e-8387-a8e17af552f2/2086-1
00:15:18.059 --> 00:15:21.645
<v Scalora, Joshua D>six months worth of data and
bring it to a meeting.</v>

e8643036-4412-415e-8387-a8e17af552f2/2109-0
00:15:23.205 --> 00:15:28.599
<v Scalora, Joshua D>And we really question the value
of turning the electronic, you</v>

e8643036-4412-415e-8387-a8e17af552f2/2109-1
00:15:28.599 --> 00:15:31.885
<v Scalora, Joshua D>know, Excel documents into into
paper.</v>

e8643036-4412-415e-8387-a8e17af552f2/2120-0
00:15:32.205 --> 00:15:36.405
<v Scalora, Joshua D>But we were vehemently told do
it and it was about 500 page.</v>

e8643036-4412-415e-8387-a8e17af552f2/2142-0
00:15:37.415 --> 00:15:40.307
<v Scalora, Joshua D>So I like to joke that I'm the
director of Business</v>

e8643036-4412-415e-8387-a8e17af552f2/2142-1
00:15:40.307 --> 00:15:43.255
<v Scalora, Joshua D>Intelligence and that was like
the opposite of that.</v>

e8643036-4412-415e-8387-a8e17af552f2/2164-0
00:15:43.255 --> 00:15:47.580
<v Scalora, Joshua D>It was almost impossible to use
and when we did get a demo from</v>

e8643036-4412-415e-8387-a8e17af552f2/2164-1
00:15:47.580 --> 00:15:51.635
<v Scalora, Joshua D>Pulse light, the demonstration
showed us some things really</v>

e8643036-4412-415e-8387-a8e17af552f2/2164-2
00:15:51.635 --> 00:15:52.175
<v Scalora, Joshua D>quickly.</v>

e8643036-4412-415e-8387-a8e17af552f2/2185-0
00:15:52.855 --> 00:15:57.598
<v Scalora, Joshua D>It showed us a pattern of
injuries and although the data</v>

e8643036-4412-415e-8387-a8e17af552f2/2185-1
00:15:57.598 --> 00:16:02.673
<v Scalora, Joshua D>in the system, let's say the all
of the details were changed</v>

e8643036-4412-415e-8387-a8e17af552f2/2185-2
00:16:02.673 --> 00:16:05.335
<v Scalora, Joshua D>other than the claim code types.</v>

e8643036-4412-415e-8387-a8e17af552f2/2193-0
00:16:06.125 --> 00:16:08.245
<v Scalora, Joshua D>The data was based on real data.</v>

e8643036-4412-415e-8387-a8e17af552f2/2204-0
00:16:09.395 --> 00:16:12.475
<v Scalora, Joshua D>And the data was recognizable to
us.</v>

e8643036-4412-415e-8387-a8e17af552f2/2246-0
00:16:12.475 --> 00:16:16.705
<v Scalora, Joshua D>It was related to an accident, a
vehicle accident, and it was</v>

e8643036-4412-415e-8387-a8e17af552f2/2246-1
00:16:16.705 --> 00:16:20.799
<v Scalora, Joshua D>incredibly impactful for us to
see that this tool worked to</v>

e8643036-4412-415e-8387-a8e17af552f2/2246-2
00:16:20.799 --> 00:16:25.097
<v Scalora, Joshua D>show us something that we knew
about and we could identify it.</v>

e8643036-4412-415e-8387-a8e17af552f2/2246-3
00:16:25.097 --> 00:16:29.259
<v Scalora, Joshua D>This tool could show us that
vehicle accident with a cluster</v>

e8643036-4412-415e-8387-a8e17af552f2/2246-4
00:16:29.259 --> 00:16:30.555
<v Scalora, Joshua D>of injuries and se.</v>

e8643036-4412-415e-8387-a8e17af552f2/2255-0
00:16:30.595 --> 00:16:34.115
<v Scalora, Joshua D>Injuries this tool could help us
see things that we.</v>

e8643036-4412-415e-8387-a8e17af552f2/2270-0
00:16:34.925 --> 00:16:38.365
<v Scalora, Joshua D>We would only know about if
people told us about them, so it</v>

e8643036-4412-415e-8387-a8e17af552f2/2270-1
00:16:38.365 --> 00:16:39.605
<v Scalora, Joshua D>was really a powerful.</v>

e8643036-4412-415e-8387-a8e17af552f2/2292-0
00:16:40.525 --> 00:16:44.308
<v Scalora, Joshua D>Observation for us and we
realized that the claims data</v>

e8643036-4412-415e-8387-a8e17af552f2/2292-1
00:16:44.308 --> 00:16:47.956
<v Scalora, Joshua D>could be mined to find
unreported incidents and allow</v>

e8643036-4412-415e-8387-a8e17af552f2/2292-2
00:16:47.956 --> 00:16:49.645
<v Scalora, Joshua D>follow up and resolution.</v>

e8643036-4412-415e-8387-a8e17af552f2/2329-0
00:16:50.085 --> 00:16:54.066
<v Scalora, Joshua D>So we talked about Pulse Light
Commissioner, Chef mentioned</v>

e8643036-4412-415e-8387-a8e17af552f2/2329-1
00:16:54.066 --> 00:16:58.178
<v Scalora, Joshua D>that Pulse Light's a woman owned
business and the business is</v>

e8643036-4412-415e-8387-a8e17af552f2/2329-2
00:16:58.178 --> 00:17:01.960
<v Scalora, Joshua D>really organized around helping
Health and Human service</v>

e8643036-4412-415e-8387-a8e17af552f2/2329-3
00:17:01.960 --> 00:17:05.409
<v Scalora, Joshua D>agencies improve health and
safety and outcomes for</v>

e8643036-4412-415e-8387-a8e17af552f2/2329-4
00:17:05.409 --> 00:17:06.205
<v Scalora, Joshua D>individuals.</v>

e8643036-4412-415e-8387-a8e17af552f2/2337-0
00:17:07.005 --> 00:17:09.365
<v Scalora, Joshua D>And enhancing person centred
care quality.</v>

e8643036-4412-415e-8387-a8e17af552f2/2363-0
00:17:10.565 --> 00:17:14.668
<v Scalora, Joshua D>HealthEquity incident and abuse,
neglect and exploitation,</v>

e8643036-4412-415e-8387-a8e17af552f2/2363-1
00:17:14.668 --> 00:17:18.493
<v Scalora, Joshua D>detection, management and
prevention and the aura tool</v>

e8643036-4412-415e-8387-a8e17af552f2/2363-2
00:17:18.493 --> 00:17:22.805
<v Scalora, Joshua D>that was developed after our
initial incident reporting tool.</v>

e8643036-4412-415e-8387-a8e17af552f2/2393-0
00:17:24.365 --> 00:17:28.963
<v Scalora, Joshua D>Really puts a 360° view around
the person and gives some</v>

e8643036-4412-415e-8387-a8e17af552f2/2393-1
00:17:28.963 --> 00:17:33.641
<v Scalora, Joshua D>amazing new capabilities to us
that we'll talk about in a</v>

e8643036-4412-415e-8387-a8e17af552f2/2393-2
00:17:33.641 --> 00:17:34.205
<v Scalora, Joshua D>moment.</v>

e8643036-4412-415e-8387-a8e17af552f2/2406-0
00:17:34.485 --> 00:17:37.387
<v Scalora, Joshua D>But first of all, what types of
claims are available for</v>

e8643036-4412-415e-8387-a8e17af552f2/2406-1
00:17:37.387 --> 00:17:37.845
<v Scalora, Joshua D>analysis?</v>

e8643036-4412-415e-8387-a8e17af552f2/2410-0
00:17:37.845 --> 00:17:40.125
<v Scalora, Joshua D>In Aura, we talk a lot about
claims.</v>

e8643036-4412-415e-8387-a8e17af552f2/2435-0
00:17:41.415 --> 00:17:46.263
<v Scalora, Joshua D>And they're not all one thing,
but basically, these are bills</v>

e8643036-4412-415e-8387-a8e17af552f2/2435-1
00:17:46.263 --> 00:17:51.423
<v Scalora, Joshua D>for services that were Medicaid,
billable services, and these are</v>

e8643036-4412-415e-8387-a8e17af552f2/2435-2
00:17:51.423 --> 00:17:53.455
<v Scalora, Joshua D>Medicaid claims primarily.</v>

e8643036-4412-415e-8387-a8e17af552f2/2442-0
00:17:54.215 --> 00:17:57.392
<v Scalora, Joshua D>These are professional claims
for services by medical</v>

e8643036-4412-415e-8387-a8e17af552f2/2442-1
00:17:57.392 --> 00:17:58.215
<v Scalora, Joshua D>professionals.</v>

e8643036-4412-415e-8387-a8e17af552f2/2459-0
00:17:59.765 --> 00:18:04.053
<v Scalora, Joshua D>Institutional claims, so things
that like might be billed at a a</v>

e8643036-4412-415e-8387-a8e17af552f2/2459-1
00:18:04.053 --> 00:18:05.965
<v Scalora, Joshua D>sniff or something like that.</v>

e8643036-4412-415e-8387-a8e17af552f2/2472-0
00:18:05.965 --> 00:18:10.151
<v Scalora, Joshua D>A certified nursing facility
pharmacy claims or things like</v>

e8643036-4412-415e-8387-a8e17af552f2/2472-1
00:18:10.151 --> 00:18:11.965
<v Scalora, Joshua D>durable medical equipment.</v>

e8643036-4412-415e-8387-a8e17af552f2/2474-0
00:18:12.885 --> 00:18:13.725
<v Scalora, Joshua D>Rental claims.</v>

e8643036-4412-415e-8387-a8e17af552f2/2490-0
00:18:15.285 --> 00:18:18.972
<v Scalora, Joshua D>That is a major indicator.
Restorative dental can be a</v>

e8643036-4412-415e-8387-a8e17af552f2/2490-1
00:18:18.972 --> 00:18:20.245
<v Scalora, Joshua D>major indicator of.</v>

e8643036-4412-415e-8387-a8e17af552f2/2504-0
00:18:21.925 --> 00:18:25.845
<v Scalora, Joshua D>Abuse as can extractions be an
indicator of neglect?</v>

e8643036-4412-415e-8387-a8e17af552f2/2529-0
00:18:25.845 --> 00:18:29.738
<v Scalora, Joshua D>Sometimes. So there's different
uses for that dental claims, and</v>

e8643036-4412-415e-8387-a8e17af552f2/2529-1
00:18:29.738 --> 00:18:33.630
<v Scalora, Joshua D>they're different indicators for
what that data may mean for the</v>

e8643036-4412-415e-8387-a8e17af552f2/2529-2
00:18:33.630 --> 00:18:35.845
<v Scalora, Joshua D>individuals who are experiencing
it.</v>

e8643036-4412-415e-8387-a8e17af552f2/2538-0
00:18:36.325 --> 00:18:40.037
<v Scalora, Joshua D>And then there's also these
services by federally qualified</v>

e8643036-4412-415e-8387-a8e17af552f2/2538-1
00:18:40.037 --> 00:18:40.965
<v Scalora, Joshua D>health centers.</v>

e8643036-4412-415e-8387-a8e17af552f2/2543-0
00:18:40.965 --> 00:18:42.485
<v Scalora, Joshua D>Those are the different types of
claims.</v>

e8643036-4412-415e-8387-a8e17af552f2/2572-0
00:18:44.205 --> 00:18:47.610
<v Scalora, Joshua D>And when we look at and think
about the data, first of all, I</v>

e8643036-4412-415e-8387-a8e17af552f2/2572-1
00:18:47.610 --> 00:18:51.071
<v Scalora, Joshua D>wanna give all credit to slides
and I know it's on the screen,</v>

e8643036-4412-415e-8387-a8e17af552f2/2572-2
00:18:51.071 --> 00:18:54.366
<v Scalora, Joshua D>but pulse light develop this
deck and they are better at it</v>

e8643036-4412-415e-8387-a8e17af552f2/2572-3
00:18:54.366 --> 00:18:54.805
<v Scalora, Joshua D>than me.</v>

e8643036-4412-415e-8387-a8e17af552f2/2582-0
00:18:54.805 --> 00:18:58.445
<v Scalora, Joshua D>So if there's fancy stuff that
you see, they did it.</v>

e8643036-4412-415e-8387-a8e17af552f2/2606-0
00:18:58.685 --> 00:19:03.414
<v Scalora, Joshua D>Thank you for helping with that
and it is a partnership really,</v>

e8643036-4412-415e-8387-a8e17af552f2/2606-1
00:19:03.414 --> 00:19:07.479
<v Scalora, Joshua D>but starting with Medicaid
claims, we also bring in an</v>

e8643036-4412-415e-8387-a8e17af552f2/2606-2
00:19:07.479 --> 00:19:08.365
<v Scalora, Joshua D>agency data.</v>

e8643036-4412-415e-8387-a8e17af552f2/2612-0
00:19:08.365 --> 00:19:11.245
<v Scalora, Joshua D>So that would be data around the
individuals who are.</v>

e8643036-4412-415e-8387-a8e17af552f2/2619-0
00:19:12.045 --> 00:19:14.445
<v Scalora, Joshua D>On the Medicaid waivers and
receive waiver supports.</v>

e8643036-4412-415e-8387-a8e17af552f2/2637-0
00:19:15.875 --> 00:19:19.426
<v Scalora, Joshua D>Out of our data system,
including placements of the</v>

e8643036-4412-415e-8387-a8e17af552f2/2637-1
00:19:19.426 --> 00:19:23.795
<v Scalora, Joshua D>services that individuals get,
the providers that support them.</v>

e8643036-4412-415e-8387-a8e17af552f2/2660-0
00:19:25.365 --> 00:19:29.685
<v Scalora, Joshua D>There's a unique identifier in
our data system called an rdid.</v>

e8643036-4412-415e-8387-a8e17af552f2/2667-0
00:19:30.085 --> 00:19:32.205
<v Scalora, Joshua D>It's a residential and day ID.</v>

e8643036-4412-415e-8387-a8e17af552f2/2701-0
00:19:32.205 --> 00:19:36.420
<v Scalora, Joshua D>It's alphanumeric and it has
unique identifiers for things</v>

e8643036-4412-415e-8387-a8e17af552f2/2701-1
00:19:36.420 --> 00:19:40.420
<v Scalora, Joshua D>that like tells them if it's
public or private. If it's</v>

e8643036-4412-415e-8387-a8e17af552f2/2701-2
00:19:40.420 --> 00:19:44.562
<v Scalora, Joshua D>reserved A and then those are
also tied to location based</v>

e8643036-4412-415e-8387-a8e17af552f2/2701-3
00:19:44.562 --> 00:19:45.205
<v Scalora, Joshua D>services.</v>

e8643036-4412-415e-8387-a8e17af552f2/2703-0
00:19:45.205 --> 00:19:46.485
<v Scalora, Joshua D>So we can organize things.</v>

e8643036-4412-415e-8387-a8e17af552f2/2741-0
00:19:47.055 --> 00:19:51.775
<v Scalora, Joshua D>On that and in addition to that,
we're pulling in incident</v>

e8643036-4412-415e-8387-a8e17af552f2/2741-1
00:19:51.775 --> 00:19:56.175
<v Scalora, Joshua D>reporting data, critical
incident restraint, met error</v>

e8643036-4412-415e-8387-a8e17af552f2/2741-2
00:19:56.175 --> 00:20:01.135
<v Scalora, Joshua D>allegations of abuse, neglect
and other data which we'll dive</v>

e8643036-4412-415e-8387-a8e17af552f2/2741-3
00:20:01.135 --> 00:20:01.535
<v Scalora, Joshua D>into.</v>

e8643036-4412-415e-8387-a8e17af552f2/2769-0
00:20:02.255 --> 00:20:05.227
<v Scalora, Joshua D>But there's a lot of other
different types of data that can</v>

e8643036-4412-415e-8387-a8e17af552f2/2769-1
00:20:05.227 --> 00:20:08.248
<v Scalora, Joshua D>be joined with that, and we're
not joining with all of those</v>

e8643036-4412-415e-8387-a8e17af552f2/2769-2
00:20:08.248 --> 00:20:10.575
<v Scalora, Joshua D>types of data. But I do want to
call that out.</v>

e8643036-4412-415e-8387-a8e17af552f2/2805-0
00:20:11.125 --> 00:20:15.176
<v Scalora, Joshua D>Some examples might be needs
assessment. Medicare, which is a</v>

e8643036-4412-415e-8387-a8e17af552f2/2805-1
00:20:15.176 --> 00:20:19.030
<v Scalora, Joshua D>high priority for Commissioner
chef, and we're going to be</v>

e8643036-4412-415e-8387-a8e17af552f2/2805-2
00:20:19.030 --> 00:20:22.427
<v Scalora, Joshua D>working with our with DSS on
gaining access to that</v>

e8643036-4412-415e-8387-a8e17af552f2/2805-3
00:20:22.427 --> 00:20:24.125
<v Scalora, Joshua D>information in the future.</v>

e8643036-4412-415e-8387-a8e17af552f2/2824-0
00:20:25.695 --> 00:20:28.713
<v Scalora, Joshua D>ADT admit discharge transfer,
which we'll talk a little bit</v>

e8643036-4412-415e-8387-a8e17af552f2/2824-1
00:20:28.713 --> 00:20:29.015
<v Scalora, Joshua D>about.</v>

e8643036-4412-415e-8387-a8e17af552f2/2825-0
00:20:29.335 --> 00:20:31.055
<v Scalora, Joshua D>Medicaid Fraud control unit.</v>

e8643036-4412-415e-8387-a8e17af552f2/2832-0
00:20:31.055 --> 00:20:33.455
<v Scalora, Joshua D>These are a lot of acronyms.</v>

e8643036-4412-415e-8387-a8e17af552f2/2840-0
00:20:34.215 --> 00:20:36.495
<v Scalora, Joshua D>I'll keep going though, just
reading them out.</v>

e8643036-4412-415e-8387-a8e17af552f2/2852-0
00:20:36.495 --> 00:20:40.572
<v Scalora, Joshua D>Adult Protective Services, Child
Protective Services, substance</v>

e8643036-4412-415e-8387-a8e17af552f2/2852-1
00:20:40.572 --> 00:20:41.655
<v Scalora, Joshua D>abuse prevention.</v>

e8643036-4412-415e-8387-a8e17af552f2/2867-0
00:20:42.485 --> 00:20:46.701
<v Scalora, Joshua D>Grieving systems, electronic
visit verification and wait list</v>

e8643036-4412-415e-8387-a8e17af552f2/2867-1
00:20:46.701 --> 00:20:47.245
<v Scalora, Joshua D>systems.</v>

e8643036-4412-415e-8387-a8e17af552f2/2875-0
00:20:47.685 --> 00:20:52.049
<v Scalora, Joshua D>Some states join their different
elements of these systems in</v>

e8643036-4412-415e-8387-a8e17af552f2/2875-1
00:20:52.049 --> 00:20:53.245
<v Scalora, Joshua D>combination with.</v>

e8643036-4412-415e-8387-a8e17af552f2/2899-0
00:20:54.815 --> 00:20:59.160
<v Scalora, Joshua D>Aura to provide a more nuanced
view of the information in the</v>

e8643036-4412-415e-8387-a8e17af552f2/2899-1
00:20:59.160 --> 00:21:03.644
<v Scalora, Joshua D>individual provider and service
locations, and this information</v>

e8643036-4412-415e-8387-a8e17af552f2/2899-2
00:21:03.644 --> 00:21:04.975
<v Scalora, Joshua D>is useful not just.</v>

e8643036-4412-415e-8387-a8e17af552f2/2922-0
00:21:06.575 --> 00:21:10.314
<v Scalora, Joshua D>To 8 people that are supporting
individuals with intellectual</v>

e8643036-4412-415e-8387-a8e17af552f2/2922-1
00:21:10.314 --> 00:21:14.113
<v Scalora, Joshua D>and developmental disabilities,
but all long term services and</v>

e8643036-4412-415e-8387-a8e17af552f2/2922-2
00:21:14.113 --> 00:21:14.655
<v Scalora, Joshua D>supports.</v>

e8643036-4412-415e-8387-a8e17af552f2/2954-0
00:21:15.615 --> 00:21:20.901
<v Scalora, Joshua D>Mental health, aging, regulatory
and money follows the person,</v>

e8643036-4412-415e-8387-a8e17af552f2/2954-1
00:21:20.901 --> 00:21:25.683
<v Scalora, Joshua D>and in general it can be either
a single or multi agency</v>

e8643036-4412-415e-8387-a8e17af552f2/2954-2
00:21:25.683 --> 00:21:30.717
<v Scalora, Joshua D>program. For example, some
states have one Health and Human</v>

e8643036-4412-415e-8387-a8e17af552f2/2954-3
00:21:30.717 --> 00:21:31.975
<v Scalora, Joshua D>service agency.</v>

e8643036-4412-415e-8387-a8e17af552f2/2958-0
00:21:31.975 --> 00:21:33.295
<v Scalora, Joshua D>That's not atypical.</v>

e8643036-4412-415e-8387-a8e17af552f2/2963-0
00:21:33.295 --> 00:21:34.895
<v Scalora, Joshua D>That's kind of the norm.</v>

e8643036-4412-415e-8387-a8e17af552f2/2976-0
00:21:34.975 --> 00:21:38.076
<v Scalora, Joshua D>And we're also the norm. I I
don't know if it's 5050,</v>

e8643036-4412-415e-8387-a8e17af552f2/2976-1
00:21:38.076 --> 00:21:40.775
<v Scalora, Joshua D>Commissioner. Chef probably
knows better, but.</v>

e8643036-4412-415e-8387-a8e17af552f2/3003-0
00:21:41.575 --> 00:21:44.879
<v Scalora, Joshua D>You know, in some states if
they're using aura, they might</v>

e8643036-4412-415e-8387-a8e17af552f2/3003-1
00:21:44.879 --> 00:21:47.847
<v Scalora, Joshua D>be using it across and the
Health and Human services</v>

e8643036-4412-415e-8387-a8e17af552f2/3003-2
00:21:47.847 --> 00:21:51.095
<v Scalora, Joshua D>sphere. In Connecticut, there's
a couple of the agencies.</v>

e8643036-4412-415e-8387-a8e17af552f2/3009-0
00:21:51.505 --> 00:21:52.665
<v Scalora, Joshua D>These are using it now.</v>

e8643036-4412-415e-8387-a8e17af552f2/3032-0
00:21:52.865 --> 00:21:57.928
<v Scalora, Joshua D>There's some additional growth
beyond DSS and and DDS and I</v>

e8643036-4412-415e-8387-a8e17af552f2/3032-1
00:21:57.928 --> 00:22:03.075
<v Scalora, Joshua D>know we have a vision to share
the insights that we get from</v>

e8643036-4412-415e-8387-a8e17af552f2/3032-2
00:22:03.075 --> 00:22:04.425
<v Scalora, Joshua D>the aura system.</v>

e8643036-4412-415e-8387-a8e17af552f2/3034-0
00:22:06.215 --> 00:22:06.775
<v Scalora, Joshua D>With.</v>

e8643036-4412-415e-8387-a8e17af552f2/3041-0
00:22:08.495 --> 00:22:11.455
<v Scalora, Joshua D>Others so that they may benefit
as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/3057-0
00:22:14.345 --> 00:22:21.616
<v Scalora, Joshua D>So we started using Aura to
conduct a monthly review where</v>

e8643036-4412-415e-8387-a8e17af552f2/3057-1
00:22:21.616 --> 00:22:21.985
<v Scalora, Joshua D>we.</v>

e8643036-4412-415e-8387-a8e17af552f2/3083-0
00:22:23.655 --> 00:22:27.534
<v Scalora, Joshua D>Basically, run reports that
detect critical incidents for</v>

e8643036-4412-415e-8387-a8e17af552f2/3083-1
00:22:27.534 --> 00:22:31.412
<v Scalora, Joshua D>DDS individuals for a time
period. We, like I said, we do</v>

e8643036-4412-415e-8387-a8e17af552f2/3083-2
00:22:31.412 --> 00:22:32.415
<v Scalora, Joshua D>it every month.</v>

e8643036-4412-415e-8387-a8e17af552f2/3102-0
00:22:32.775 --> 00:22:37.257
<v Scalora, Joshua D>We've been doing it for several
years now and when we detect</v>

e8643036-4412-415e-8387-a8e17af552f2/3102-1
00:22:37.257 --> 00:22:41.812
<v Scalora, Joshua D>critical incidents, what that
means is we get a report in the</v>

e8643036-4412-415e-8387-a8e17af552f2/3102-2
00:22:41.812 --> 00:22:43.575
<v Scalora, Joshua D>pulse light aura system.</v>

e8643036-4412-415e-8387-a8e17af552f2/3109-0
00:22:44.505 --> 00:22:49.105
<v Scalora, Joshua D>And it has data that is
information about.</v>

e8643036-4412-415e-8387-a8e17af552f2/3144-0
00:22:50.655 --> 00:22:54.219
<v Scalora, Joshua D>Experiences that people had
around medical treatments and</v>

e8643036-4412-415e-8387-a8e17af552f2/3144-1
00:22:54.219 --> 00:22:58.212
<v Scalora, Joshua D>we've worked with pulse light in
their team to tailor the claims</v>

e8643036-4412-415e-8387-a8e17af552f2/3144-2
00:22:58.212 --> 00:23:01.775
<v Scalora, Joshua D>that are used to detect these
things and show them to us.</v>

e8643036-4412-415e-8387-a8e17af552f2/3157-0
00:23:03.535 --> 00:23:06.095
<v Scalora, Joshua D>To our incident and critical
incident procedure.</v>

e8643036-4412-415e-8387-a8e17af552f2/3174-0
00:23:06.375 --> 00:23:09.943
<v Scalora, Joshua D>So they're showing us things
that our procedure says that we</v>

e8643036-4412-415e-8387-a8e17af552f2/3174-1
00:23:09.943 --> 00:23:13.569
<v Scalora, Joshua D>should be looking at that should
be reported to us and things</v>

e8643036-4412-415e-8387-a8e17af552f2/3174-2
00:23:13.569 --> 00:23:14.095
<v Scalora, Joshua D>that are.</v>

e8643036-4412-415e-8387-a8e17af552f2/3183-0
00:23:15.335 --> 00:23:17.415
<v Scalora, Joshua D>Those are the detective critical
incidents.</v>

e8643036-4412-415e-8387-a8e17af552f2/3206-0
00:23:18.975 --> 00:23:22.944
<v Scalora, Joshua D>We review those every month and
there there's a a</v>

e8643036-4412-415e-8387-a8e17af552f2/3206-1
00:23:22.944 --> 00:23:27.627
<v Scalora, Joshua D>interdisciplinary team that
reviews that information, does</v>

e8643036-4412-415e-8387-a8e17af552f2/3206-2
00:23:27.627 --> 00:23:29.135
<v Scalora, Joshua D>research to triage.</v>

e8643036-4412-415e-8387-a8e17af552f2/3225-0
00:23:30.815 --> 00:23:35.825
<v Scalora, Joshua D>To identify if if we knew about
it, but it just wasn't entered</v>

e8643036-4412-415e-8387-a8e17af552f2/3225-1
00:23:35.825 --> 00:23:37.495
<v Scalora, Joshua D>into our data system.</v>

e8643036-4412-415e-8387-a8e17af552f2/3236-0
00:23:37.855 --> 00:23:41.095
<v Scalora, Joshua D>If for instance, is there a case
note about it?</v>

e8643036-4412-415e-8387-a8e17af552f2/3239-0
00:23:41.775 --> 00:23:43.695
<v Scalora, Joshua D>Was the case manager informed?</v>

e8643036-4412-415e-8387-a8e17af552f2/3243-0
00:23:43.695 --> 00:23:46.215
<v Scalora, Joshua D>Was the health services director
informed?</v>

e8643036-4412-415e-8387-a8e17af552f2/3263-0
00:23:47.125 --> 00:23:50.506
<v Scalora, Joshua D>Did the right people know about
this thing, or was there an</v>

e8643036-4412-415e-8387-a8e17af552f2/3263-1
00:23:50.506 --> 00:23:53.155
<v Scalora, Joshua D>allegation of or and
investigation of abuse or</v>

e8643036-4412-415e-8387-a8e17af552f2/3263-2
00:23:53.155 --> 00:23:53.605
<v Scalora, Joshua D>neglect?</v>

e8643036-4412-415e-8387-a8e17af552f2/3298-0
00:23:54.205 --> 00:23:58.041
<v Scalora, Joshua D>So we're already sending that
information, but we also do an</v>

e8643036-4412-415e-8387-a8e17af552f2/3298-1
00:23:58.041 --> 00:24:02.066
<v Scalora, Joshua D>additional check to say, did we
miss anything in the in, in the</v>

e8643036-4412-415e-8387-a8e17af552f2/3298-2
00:24:02.066 --> 00:24:05.964
<v Scalora, Joshua D>algorithm? Were there things
that were outside the date range</v>

e8643036-4412-415e-8387-a8e17af552f2/3298-3
00:24:05.964 --> 00:24:08.165
<v Scalora, Joshua D>that look like they might line
up?</v>

e8643036-4412-415e-8387-a8e17af552f2/3319-0
00:24:08.165 --> 00:24:11.949
<v Scalora, Joshua D>So we do an additional review to
see if we can find any more</v>

e8643036-4412-415e-8387-a8e17af552f2/3319-1
00:24:11.949 --> 00:24:15.671
<v Scalora, Joshua D>information. And then there's a
follow up process to ensure</v>

e8643036-4412-415e-8387-a8e17af552f2/3319-2
00:24:15.671 --> 00:24:16.725
<v Scalora, Joshua D>proper reporting.</v>

e8643036-4412-415e-8387-a8e17af552f2/3333-0
00:24:17.265 --> 00:24:23.514
<v Scalora, Joshua D>Solution and the follow up can
occur specifically for critical</v>

e8643036-4412-415e-8387-a8e17af552f2/3333-1
00:24:23.514 --> 00:24:24.505
<v Scalora, Joshua D>incidents.</v>

e8643036-4412-415e-8387-a8e17af552f2/3346-0
00:24:24.665 --> 00:24:27.972
<v Scalora, Joshua D>There's a number of things per
procedure that are supposed to</v>

e8643036-4412-415e-8387-a8e17af552f2/3346-1
00:24:27.972 --> 00:24:28.345
<v Scalora, Joshua D>happen.</v>

e8643036-4412-415e-8387-a8e17af552f2/3347-0
00:24:28.425 --> 00:24:29.105
<v Scalora, Joshua D>The reason?</v>

e8643036-4412-415e-8387-a8e17af552f2/3377-0
00:24:29.105 --> 00:24:33.254
<v Scalora, Joshua D>The procedure requires those
things to happen is that they</v>

e8643036-4412-415e-8387-a8e17af552f2/3377-1
00:24:33.254 --> 00:24:37.402
<v Scalora, Joshua D>make sure that the team is aware
of what occurred and that</v>

e8643036-4412-415e-8387-a8e17af552f2/3377-2
00:24:37.402 --> 00:24:41.831
<v Scalora, Joshua D>there's occurred that they're
able to do preventative measures</v>

e8643036-4412-415e-8387-a8e17af552f2/3377-3
00:24:41.831 --> 00:24:42.745
<v Scalora, Joshua D>if necessary.</v>

e8643036-4412-415e-8387-a8e17af552f2/3387-0
00:24:43.535 --> 00:24:46.535
<v Scalora, Joshua D>But after we started using it,
it's very effective.</v>

e8643036-4412-415e-8387-a8e17af552f2/3415-0
00:24:47.065 --> 00:24:51.601
<v Scalora, Joshua D>We're able to do follow up with
providers and ensure that the</v>

e8643036-4412-415e-8387-a8e17af552f2/3415-1
00:24:51.601 --> 00:24:55.991
<v Scalora, Joshua D>team is informed and that all
the right people are are know</v>

e8643036-4412-415e-8387-a8e17af552f2/3415-2
00:24:55.991 --> 00:24:58.185
<v Scalora, Joshua D>about something that happened.</v>

e8643036-4412-415e-8387-a8e17af552f2/3454-0
00:24:58.665 --> 00:25:02.586
<v Scalora, Joshua D>We're seeing better reporting in
the in, in our system, a better</v>

e8643036-4412-415e-8387-a8e17af552f2/3454-1
00:25:02.586 --> 00:25:05.843
<v Scalora, Joshua D>knowledge of the reporting
requirements because we're</v>

e8643036-4412-415e-8387-a8e17af552f2/3454-2
00:25:05.843 --> 00:25:09.039
<v Scalora, Joshua D>shedding more light on the
system as a whole. But in</v>

e8643036-4412-415e-8387-a8e17af552f2/3454-3
00:25:09.039 --> 00:25:12.477
<v Scalora, Joshua D>general, there was some
information lacking and a couple</v>

e8643036-4412-415e-8387-a8e17af552f2/3454-4
00:25:12.477 --> 00:25:15.975
<v Scalora, Joshua D>of the things that we were
missing that we really wanted.</v>

e8643036-4412-415e-8387-a8e17af552f2/3456-0
00:25:15.985 --> 00:25:16.345
<v Scalora, Joshua D>To.</v>

e8643036-4412-415e-8387-a8e17af552f2/3504-0
00:25:17.835 --> 00:25:21.845
<v Scalora, Joshua D>Add to the system was level of
need the people at DDS that use</v>

e8643036-4412-415e-8387-a8e17af552f2/3504-1
00:25:21.845 --> 00:25:25.410
<v Scalora, Joshua D>the tool to review these
incidents often are going back</v>

e8643036-4412-415e-8387-a8e17af552f2/3504-2
00:25:25.410 --> 00:25:29.356
<v Scalora, Joshua D>and forth between the level of
need application and the pulse</v>

e8643036-4412-415e-8387-a8e17af552f2/3504-3
00:25:29.356 --> 00:25:32.857
<v Scalora, Joshua D>light application to verify what
the person's level of</v>

e8643036-4412-415e-8387-a8e17af552f2/3504-4
00:25:32.857 --> 00:25:34.575
<v Scalora, Joshua D>supervision was or if they.</v>

e8643036-4412-415e-8387-a8e17af552f2/3513-0
00:25:34.575 --> 00:25:37.995
<v Scalora, Joshua D>Had a choking event. Do they
have disposers?</v>

e8643036-4412-415e-8387-a8e17af552f2/3540-0
00:25:37.995 --> 00:25:41.527
<v Scalora, Joshua D>There are some other thing like
another part of their diagnosis</v>

e8643036-4412-415e-8387-a8e17af552f2/3540-1
00:25:41.527 --> 00:25:44.893
<v Scalora, Joshua D>or a risk factor from their
level. The individual's level of</v>

e8643036-4412-415e-8387-a8e17af552f2/3540-2
00:25:44.893 --> 00:25:47.155
<v Scalora, Joshua D>need assessment that would
explain what.</v>

e8643036-4412-415e-8387-a8e17af552f2/3547-0
00:25:47.335 --> 00:25:50.015
<v Scalora, Joshua D>Heard or be relevant to the
situation?</v>

e8643036-4412-415e-8387-a8e17af552f2/3588-0
00:25:51.575 --> 00:25:56.463
<v Scalora, Joshua D>Specifically for supervision,
that is something that is looked</v>

e8643036-4412-415e-8387-a8e17af552f2/3588-1
00:25:56.463 --> 00:26:01.118
<v Scalora, Joshua D>at very, very closely whenever
there's an adverse event in,</v>

e8643036-4412-415e-8387-a8e17af552f2/3588-2
00:26:01.118 --> 00:26:05.075
<v Scalora, Joshua D>specifically in provider
operated locations, we're</v>

e8643036-4412-415e-8387-a8e17af552f2/3588-3
00:26:05.075 --> 00:26:09.575
<v Scalora, Joshua D>looking to see, did the person
have enhanced supervision.</v>

e8643036-4412-415e-8387-a8e17af552f2/3604-0
00:26:09.575 --> 00:26:13.037
<v Scalora, Joshua D>Did they have some sort of
protocol or plan in place to</v>

e8643036-4412-415e-8387-a8e17af552f2/3604-1
00:26:13.037 --> 00:26:15.695
<v Scalora, Joshua D>prevent whatever did occur from
occurring?</v>

e8643036-4412-415e-8387-a8e17af552f2/3611-0
00:26:15.695 --> 00:26:17.815
<v Scalora, Joshua D>And then maybe a system broke
down.</v>

e8643036-4412-415e-8387-a8e17af552f2/3619-0
00:26:18.055 --> 00:26:21.575
<v Scalora, Joshua D>So we're really trying to do
preventative measures as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/3631-0
00:26:22.755 --> 00:26:27.475
<v Scalora, Joshua D>And we also wanted to to gain
information faster.</v>

e8643036-4412-415e-8387-a8e17af552f2/3648-0
00:26:27.795 --> 00:26:31.421
<v Scalora, Joshua D>So it was a long time goal of
Commissioner chefs to add,</v>

e8643036-4412-415e-8387-a8e17af552f2/3648-1
00:26:31.421 --> 00:26:34.155
<v Scalora, Joshua D>admit, discharge and transfer
information.</v>

e8643036-4412-415e-8387-a8e17af552f2/3663-0
00:26:34.155 --> 00:26:38.324
<v Scalora, Joshua D>I don't know if anyone's heard
of that before, but that is</v>

e8643036-4412-415e-8387-a8e17af552f2/3663-1
00:26:38.324 --> 00:26:41.715
<v Scalora, Joshua D>information that health
providers like medical.</v>

e8643036-4412-415e-8387-a8e17af552f2/3684-0
00:26:43.255 --> 00:26:47.165
<v Scalora, Joshua D>Systems and hospitals send to
the state health information</v>

e8643036-4412-415e-8387-a8e17af552f2/3684-1
00:26:47.165 --> 00:26:50.280
<v Scalora, Joshua D>exchange when someone is
admitted discharge or</v>

e8643036-4412-415e-8387-a8e17af552f2/3684-2
00:26:50.280 --> 00:26:52.135
<v Scalora, Joshua D>transferred from a hospital.</v>

e8643036-4412-415e-8387-a8e17af552f2/3702-0
00:26:53.105 --> 00:26:57.757
<v Scalora, Joshua D>And then or an emergency room.
And that is for all emergency</v>

e8643036-4412-415e-8387-a8e17af552f2/3702-1
00:26:57.757 --> 00:27:00.425
<v Scalora, Joshua D>rooms in the state of
Connecticut.</v>

e8643036-4412-415e-8387-a8e17af552f2/3714-0
00:27:00.425 --> 00:27:03.905
<v Scalora, Joshua D>All are supposed to send that
information to Connie.</v>

e8643036-4412-415e-8387-a8e17af552f2/3720-0
00:27:03.905 --> 00:27:06.105
<v Scalora, Joshua D>That's the state's health
information exchange.</v>

e8643036-4412-415e-8387-a8e17af552f2/3741-0
00:27:06.705 --> 00:27:11.608
<v Scalora, Joshua D>And what we wanted to do was see
if we could get an early warning</v>

e8643036-4412-415e-8387-a8e17af552f2/3741-1
00:27:11.608 --> 00:27:16.065
<v Scalora, Joshua D>system. The claims are amazing,
but there's a time delay in</v>

e8643036-4412-415e-8387-a8e17af552f2/3741-2
00:27:16.065 --> 00:27:16.585
<v Scalora, Joshua D>claims.</v>

e8643036-4412-415e-8387-a8e17af552f2/3753-0
00:27:16.825 --> 00:27:20.389
<v Scalora, Joshua D>So the claim is based on that
service being provided and then</v>

e8643036-4412-415e-8387-a8e17af552f2/3753-1
00:27:20.389 --> 00:27:21.825
<v Scalora, Joshua D>the bill being submitted.</v>

e8643036-4412-415e-8387-a8e17af552f2/3789-0
00:27:22.635 --> 00:27:27.227
<v Scalora, Joshua D>And we send data every two weeks
to pulse light and DSS sends</v>

e8643036-4412-415e-8387-a8e17af552f2/3789-1
00:27:27.227 --> 00:27:31.819
<v Scalora, Joshua D>data every two weeks. But claims
can be 30 or even 60 days in</v>

e8643036-4412-415e-8387-a8e17af552f2/3789-2
00:27:31.819 --> 00:27:36.336
<v Scalora, Joshua D>arrears. So you can see that
that helps us find important to</v>

e8643036-4412-415e-8387-a8e17af552f2/3789-3
00:27:36.336 --> 00:27:37.595
<v Scalora, Joshua D>know information.</v>

e8643036-4412-415e-8387-a8e17af552f2/3802-0
00:27:37.595 --> 00:27:41.712
<v Scalora, Joshua D>But there's a little time delay,
so how could we find out things</v>

e8643036-4412-415e-8387-a8e17af552f2/3802-1
00:27:41.712 --> 00:27:42.155
<v Scalora, Joshua D>faster?</v>

e8643036-4412-415e-8387-a8e17af552f2/3810-0
00:27:42.275 --> 00:27:44.955
<v Scalora, Joshua D>We wanted to add admit,
discharge and transfer.</v>

e8643036-4412-415e-8387-a8e17af552f2/3820-0
00:27:45.315 --> 00:27:47.818
<v Scalora, Joshua D>That's the early warning system.
The thing that tells us</v>

e8643036-4412-415e-8387-a8e17af552f2/3820-1
00:27:47.818 --> 00:27:49.355
<v Scalora, Joshua D>something bad happened right
away.</v>

e8643036-4412-415e-8387-a8e17af552f2/3828-0
00:27:50.135 --> 00:27:53.815
<v Scalora, Joshua D>And by getting that information,
we're hoping to be able.</v>

e8643036-4412-415e-8387-a8e17af552f2/3867-0
00:27:54.615 --> 00:27:58.333
<v Scalora, Joshua D>To create a system where we're
reaching out more sooner and</v>

e8643036-4412-415e-8387-a8e17af552f2/3867-1
00:27:58.333 --> 00:28:01.742
<v Scalora, Joshua D>we're able to prevent less
unmatched detected critical</v>

e8643036-4412-415e-8387-a8e17af552f2/3867-2
00:28:01.742 --> 00:28:05.398
<v Scalora, Joshua D>incidents down the road. For
instance, a lot of the things</v>

e8643036-4412-415e-8387-a8e17af552f2/3867-3
00:28:05.398 --> 00:28:09.116
<v Scalora, Joshua D>that we find, you know two
months later if we knew about it</v>

e8643036-4412-415e-8387-a8e17af552f2/3867-4
00:28:09.116 --> 00:28:10.975
<v Scalora, Joshua D>now we could ask for that Inc.</v>

e8643036-4412-415e-8387-a8e17af552f2/3881-0
00:28:10.975 --> 00:28:14.385
<v Scalora, Joshua D>Report this week and maybe get
it next week and it wouldn't be</v>

e8643036-4412-415e-8387-a8e17af552f2/3881-1
00:28:14.385 --> 00:28:14.655
<v Scalora, Joshua D>late.</v>

e8643036-4412-415e-8387-a8e17af552f2/3892-0
00:28:15.175 --> 00:28:18.591
<v Scalora, Joshua D>The team would know about it in
time, so we're really shifting</v>

e8643036-4412-415e-8387-a8e17af552f2/3892-1
00:28:18.591 --> 00:28:20.055
<v Scalora, Joshua D>our focus to see if we can.</v>

e8643036-4412-415e-8387-a8e17af552f2/3907-0
00:28:21.135 --> 00:28:24.431
<v Scalora, Joshua D>Learn about the admin discharge
and use that admit discharge and</v>

e8643036-4412-415e-8387-a8e17af552f2/3907-1
00:28:24.431 --> 00:28:25.495
<v Scalora, Joshua D>transfer information.</v>

e8643036-4412-415e-8387-a8e17af552f2/3926-0
00:28:26.035 --> 00:28:31.567
<v Scalora, Joshua D>To do interventions more quickly
and we, we also added emergency</v>

e8643036-4412-415e-8387-a8e17af552f2/3926-1
00:28:31.567 --> 00:28:34.715
<v Scalora, Joshua D>room analysis to the tool this
year.</v>

e8643036-4412-415e-8387-a8e17af552f2/3956-0
00:28:34.715 --> 00:28:38.800
<v Scalora, Joshua D>So those tools have been
incredibly impactful, but beyond</v>

e8643036-4412-415e-8387-a8e17af552f2/3956-1
00:28:38.800 --> 00:28:43.167
<v Scalora, Joshua D>the tools that DDS uses, pulse
light created a new version of</v>

e8643036-4412-415e-8387-a8e17af552f2/3956-2
00:28:43.167 --> 00:28:46.195
<v Scalora, Joshua D>their application which we
benefited from.</v>

e8643036-4412-415e-8387-a8e17af552f2/3966-0
00:28:46.755 --> 00:28:49.955
<v Scalora, Joshua D>This is beyond our original use
and that's aura.</v>

e8643036-4412-415e-8387-a8e17af552f2/3978-0
00:28:50.275 --> 00:28:53.674
<v Scalora, Joshua D>This is something that DDS is
very excited about, and I think</v>

e8643036-4412-415e-8387-a8e17af552f2/3978-1
00:28:53.674 --> 00:28:54.715
<v Scalora, Joshua D>others are as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/3987-0
00:28:55.495 --> 00:28:58.815
<v Scalora, Joshua D>Because it's created a real
expanded view of information.</v>

e8643036-4412-415e-8387-a8e17af552f2/4014-0
00:29:00.115 --> 00:29:03.981
<v Scalora, Joshua D>It helps us see provider
performance, gives us a view</v>

e8643036-4412-415e-8387-a8e17af552f2/4014-1
00:29:03.981 --> 00:29:08.062
<v Scalora, Joshua D>into HealthEquity, gives us a
lens into the fatal 5 plus</v>

e8643036-4412-415e-8387-a8e17af552f2/4014-2
00:29:08.062 --> 00:29:09.995
<v Scalora, Joshua D>conditions for individuals.</v>

e8643036-4412-415e-8387-a8e17af552f2/4031-0
00:29:10.395 --> 00:29:14.837
<v Scalora, Joshua D>Other adverse conditions like
diabetes and heart disease, we</v>

e8643036-4412-415e-8387-a8e17af552f2/4031-1
00:29:14.837 --> 00:29:18.769
<v Scalora, Joshua D>can track care, drug
utilization, service utilization</v>

e8643036-4412-415e-8387-a8e17af552f2/4031-2
00:29:18.769 --> 00:29:19.715
<v Scalora, Joshua D>and analysis.</v>

e8643036-4412-415e-8387-a8e17af552f2/4038-0
00:29:22.955 --> 00:29:25.675
<v Scalora, Joshua D>How am I doing on time,
Commissioner? Is the pace OK?</v>

e8643036-4412-415e-8387-a8e17af552f2/4046-0
00:29:29.005 --> 00:29:30.845
<v Scheff, Jordan A>Yeah, we're at 5:30 now.</v>

e8643036-4412-415e-8387-a8e17af552f2/4053-0
00:29:30.845 --> 00:29:32.805
<v Scheff, Jordan A>How many more slides do you
have?</v>

e8643036-4412-415e-8387-a8e17af552f2/4057-0
00:29:33.555 --> 00:29:34.715
<v Scalora, Joshua D>Just a few more slides.</v>

e8643036-4412-415e-8387-a8e17af552f2/4059-0
00:29:35.225 --> 00:29:35.425
<v Scheff, Jordan A>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/4081-0
00:29:35.745 --> 00:29:38.728
<v Scheff, Jordan A>Yeah, if you can get that, that
that's great. 'cause, I I</v>

e8643036-4412-415e-8387-a8e17af552f2/4065-0
00:29:36.215 --> 00:29:36.255
<v Scalora, Joshua D>So.</v>

e8643036-4412-415e-8387-a8e17af552f2/4081-1
00:29:38.728 --> 00:29:41.145
<v Scheff, Jordan A>getting I know people will have
questions, so.</v>

e8643036-4412-415e-8387-a8e17af552f2/4094-0
00:29:41.725 --> 00:29:44.280
<v Scalora, Joshua D>Yeah. And I think you're just
gonna see more of what I've</v>

e8643036-4412-415e-8387-a8e17af552f2/4094-1
00:29:44.280 --> 00:29:45.205
<v Scalora, Joshua D>already talked about.</v>

e8643036-4412-415e-8387-a8e17af552f2/4102-0
00:29:45.205 --> 00:29:49.285
<v Scalora, Joshua D>So I I'll definitely summarize
these slides pretty quickly.</v>

e8643036-4412-415e-8387-a8e17af552f2/4108-0
00:29:50.085 --> 00:29:51.725
<v Scalora, Joshua D>I wanted to to show that.</v>

e8643036-4412-415e-8387-a8e17af552f2/4105-0
00:29:50.295 --> 00:29:50.535
<v Scheff, Jordan A>Thanks.</v>

e8643036-4412-415e-8387-a8e17af552f2/4111-0
00:29:51.725 --> 00:29:52.365
<v Scalora, Joshua D>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/4145-0
00:29:52.365 --> 00:29:56.495
<v Scalora, Joshua D>I wanted to show that in the
area of critical incidents we</v>

e8643036-4412-415e-8387-a8e17af552f2/4145-1
00:29:56.495 --> 00:30:00.625
<v Scalora, Joshua D>talked about how we're using the
tool for these unreported</v>

e8643036-4412-415e-8387-a8e17af552f2/4145-2
00:30:00.625 --> 00:30:05.105
<v Scalora, Joshua D>incident detection and to ensure
that there's resolution. We're</v>

e8643036-4412-415e-8387-a8e17af552f2/4145-3
00:30:05.105 --> 00:30:07.205
<v Scalora, Joshua D>also able to see risk factors.</v>

e8643036-4412-415e-8387-a8e17af552f2/4156-0
00:30:08.335 --> 00:30:11.975
<v Scalora, Joshua D>Use the tool as part of
conducting an investigation.</v>

e8643036-4412-415e-8387-a8e17af552f2/4208-0
00:30:13.115 --> 00:30:17.493
<v Scalora, Joshua D>Or conduct the outreach to the
provider to ensure proper</v>

e8643036-4412-415e-8387-a8e17af552f2/4208-1
00:30:17.493 --> 00:30:21.640
<v Scalora, Joshua D>reporting gives us new
management and oversight tools</v>

e8643036-4412-415e-8387-a8e17af552f2/4208-2
00:30:21.640 --> 00:30:26.095
<v Scalora, Joshua D>as well new views into fiscal
impact of our investment in</v>

e8643036-4412-415e-8387-a8e17af552f2/4208-3
00:30:26.095 --> 00:30:30.165
<v Scalora, Joshua D>resources. We can see the
Medicaid spends and we can</v>

e8643036-4412-415e-8387-a8e17af552f2/4208-4
00:30:30.165 --> 00:30:34.389
<v Scalora, Joshua D>eventually tie those spends
potentially to outcomes we</v>

e8643036-4412-415e-8387-a8e17af552f2/4208-5
00:30:34.389 --> 00:30:36.155
<v Scalora, Joshua D>haven't developed that.</v>

e8643036-4412-415e-8387-a8e17af552f2/4219-0
00:30:36.155 --> 00:30:39.429
<v Scalora, Joshua D>Framework, but we have the
capacity within this tool to do</v>

e8643036-4412-415e-8387-a8e17af552f2/4219-1
00:30:39.429 --> 00:30:39.595
<v Scalora, Joshua D>so.</v>

e8643036-4412-415e-8387-a8e17af552f2/4232-0
00:30:40.375 --> 00:30:44.975
<v Scalora, Joshua D>The ability to use this
information as inputs to our.</v>

e8643036-4412-415e-8387-a8e17af552f2/4245-0
00:30:45.855 --> 00:30:50.015
<v Scalora, Joshua D>Dds overall provider performance
and quality assurance process.</v>

e8643036-4412-415e-8387-a8e17af552f2/4298-0
00:30:51.575 --> 00:30:55.681
<v Scalora, Joshua D>There may be some providers on
the meeting if people are</v>

e8643036-4412-415e-8387-a8e17af552f2/4298-1
00:30:55.681 --> 00:30:59.930
<v Scalora, Joshua D>familiar with the DDS provider
performance review process.</v>

e8643036-4412-415e-8387-a8e17af552f2/4298-2
00:30:59.930 --> 00:31:03.604
<v Scalora, Joshua D>There's a large set of
information and data that's</v>

e8643036-4412-415e-8387-a8e17af552f2/4298-3
00:31:03.604 --> 00:31:08.069
<v Scalora, Joshua D>reviewed with providers every
year and the people that design</v>

e8643036-4412-415e-8387-a8e17af552f2/4298-4
00:31:08.069 --> 00:31:11.959
<v Scalora, Joshua D>those tools are looking at
incorporating some of this</v>

e8643036-4412-415e-8387-a8e17af552f2/4298-5
00:31:11.959 --> 00:31:13.255
<v Scalora, Joshua D>information to be.</v>

e8643036-4412-415e-8387-a8e17af552f2/4306-0
00:31:13.255 --> 00:31:16.015
<v Scalora, Joshua D>Able to provide additional
feedback to providers about.</v>

e8643036-4412-415e-8387-a8e17af552f2/4361-0
00:31:17.135 --> 00:31:21.764
<v Scalora, Joshua D>How well they're possibly doing
with reporting information to us</v>

e8643036-4412-415e-8387-a8e17af552f2/4361-1
00:31:21.764 --> 00:31:26.037
<v Scalora, Joshua D>or supporting individuals access
to healthcare. We have new</v>

e8643036-4412-415e-8387-a8e17af552f2/4361-2
00:31:26.037 --> 00:31:30.310
<v Scalora, Joshua D>HealthEquity tools and those
give us the ability to kind of</v>

e8643036-4412-415e-8387-a8e17af552f2/4361-3
00:31:30.310 --> 00:31:34.796
<v Scalora, Joshua D>slice and dice these outcomes
that we've been talking about by</v>

e8643036-4412-415e-8387-a8e17af552f2/4361-4
00:31:34.796 --> 00:31:38.855
<v Scalora, Joshua D>race, ethnicity, language and
other factors such as age.</v>

e8643036-4412-415e-8387-a8e17af552f2/4365-0
00:31:38.895 --> 00:31:40.455
<v Scalora, Joshua D>Or gender.</v>

e8643036-4412-415e-8387-a8e17af552f2/4374-0
00:31:41.975 --> 00:31:46.095
<v Scalora, Joshua D>Sex and also the ability to
automate policy.</v>

e8643036-4412-415e-8387-a8e17af552f2/4413-0
00:31:47.265 --> 00:31:51.915
<v Scalora, Joshua D>And audit compliance. For
instance, if we get a new rule,</v>

e8643036-4412-415e-8387-a8e17af552f2/4413-1
00:31:51.915 --> 00:31:57.045
<v Scalora, Joshua D>I mention the access rule, which
will necessitate DDS to revise</v>

e8643036-4412-415e-8387-a8e17af552f2/4413-2
00:31:57.045 --> 00:32:01.694
<v Scalora, Joshua D>our procedures for incident
reporting. We will have a new</v>

e8643036-4412-415e-8387-a8e17af552f2/4413-3
00:32:01.694 --> 00:32:05.702
<v Scalora, Joshua D>requirement around critical
incident definitions,</v>

e8643036-4412-415e-8387-a8e17af552f2/4413-4
00:32:05.702 --> 00:32:07.305
<v Scalora, Joshua D>specifically around.</v>

e8643036-4412-415e-8387-a8e17af552f2/4435-0
00:32:08.935 --> 00:32:13.856
<v Scalora, Joshua D>Suspicion of abuse or neglect.
We will be able to work,</v>

e8643036-4412-415e-8387-a8e17af552f2/4435-1
00:32:13.856 --> 00:32:19.215
<v Scalora, Joshua D>potentially with our partners in
PULSELEY to change the the.</v>

e8643036-4412-415e-8387-a8e17af552f2/4446-0
00:32:19.745 --> 00:32:24.185
<v Scalora, Joshua D>The algorithm change the things
that we're looking at to expand.</v>

e8643036-4412-415e-8387-a8e17af552f2/4458-0
00:32:24.185 --> 00:32:27.178
<v Scalora, Joshua D>Now we're we're going to go
broader than our current</v>

e8643036-4412-415e-8387-a8e17af552f2/4458-1
00:32:27.178 --> 00:32:28.985
<v Scalora, Joshua D>definition of critical incident.</v>

e8643036-4412-415e-8387-a8e17af552f2/4501-0
00:32:29.305 --> 00:32:32.949
<v Scalora, Joshua D>We're going to need to come up
with new rules, but we'll be</v>

e8643036-4412-415e-8387-a8e17af552f2/4501-1
00:32:32.949 --> 00:32:36.775
<v Scalora, Joshua D>able to, once we feel that we've
tuned those rules and that we</v>

e8643036-4412-415e-8387-a8e17af552f2/4501-2
00:32:36.775 --> 00:32:40.723
<v Scalora, Joshua D>have a good that we're using the
right codes to that, that we're</v>

e8643036-4412-415e-8387-a8e17af552f2/4501-3
00:32:40.723 --> 00:32:44.063
<v Scalora, Joshua D>providing comprehensive
oversight for people that will</v>

e8643036-4412-415e-8387-a8e17af552f2/4501-4
00:32:44.063 --> 00:32:45.095
<v Scalora, Joshua D>be able to autom.</v>

e8643036-4412-415e-8387-a8e17af552f2/4511-0
00:32:45.145 --> 00:32:48.140
<v Scalora, Joshua D>That, and that's a powerful
thing across the whole system of</v>

e8643036-4412-415e-8387-a8e17af552f2/4511-1
00:32:48.140 --> 00:32:48.385
<v Scalora, Joshua D>care.</v>

e8643036-4412-415e-8387-a8e17af552f2/4516-0
00:32:49.175 --> 00:32:50.335
<v Scalora, Joshua D>At the individual label.</v>

e8643036-4412-415e-8387-a8e17af552f2/4563-0
00:32:50.815 --> 00:32:55.131
<v Scalora, Joshua D>Level we're able to provide new
views of the person that we</v>

e8643036-4412-415e-8387-a8e17af552f2/4563-1
00:32:55.131 --> 00:32:59.878
<v Scalora, Joshua D>haven't had before. The overlay.
A lot of these metrics that I've</v>

e8643036-4412-415e-8387-a8e17af552f2/4563-2
00:32:59.878 --> 00:33:03.977
<v Scalora, Joshua D>been talking about, like
detected incidents and reported</v>

e8643036-4412-415e-8387-a8e17af552f2/4563-3
00:33:03.977 --> 00:33:07.789
<v Scalora, Joshua D>incidents, abuse and neglect
events, fatal 5 events,</v>

e8643036-4412-415e-8387-a8e17af552f2/4563-4
00:33:07.789 --> 00:33:11.386
<v Scalora, Joshua D>polypharmacy, psych
hospitalization and abuse and</v>

e8643036-4412-415e-8387-a8e17af552f2/4563-5
00:33:11.386 --> 00:33:13.615
<v Scalora, Joshua D>neglect and exploitation claim.</v>

e8643036-4412-415e-8387-a8e17af552f2/4576-0
00:33:15.175 --> 00:33:19.321
<v Scalora, Joshua D>Claims and we're able to see
that over time for an</v>

e8643036-4412-415e-8387-a8e17af552f2/4576-1
00:33:19.321 --> 00:33:20.215
<v Scalora, Joshua D>individual.</v>

e8643036-4412-415e-8387-a8e17af552f2/4608-0
00:33:20.655 --> 00:33:24.943
<v Scalora, Joshua D>And see patterns of of of
decline for individuals and</v>

e8643036-4412-415e-8387-a8e17af552f2/4608-1
00:33:24.943 --> 00:33:29.865
<v Scalora, Joshua D>hopefully make sure that the
right people have access to that</v>

e8643036-4412-415e-8387-a8e17af552f2/4608-2
00:33:29.865 --> 00:33:34.391
<v Scalora, Joshua D>information so they can do
something to help that person</v>

e8643036-4412-415e-8387-a8e17af552f2/4608-3
00:33:34.391 --> 00:33:36.455
<v Scalora, Joshua D>and improve the situation.</v>

e8643036-4412-415e-8387-a8e17af552f2/4616-0
00:33:37.095 --> 00:33:40.055
<v Scalora, Joshua D>So there's a lot of possibility
with the new tools that we have.</v>

e8643036-4412-415e-8387-a8e17af552f2/4629-0
00:33:41.815 --> 00:33:46.120
<v Scalora, Joshua D>And we're very, very hopeful
about new ways that we can use</v>

e8643036-4412-415e-8387-a8e17af552f2/4629-1
00:33:46.120 --> 00:33:46.335
<v Scalora, Joshua D>it.</v>

e8643036-4412-415e-8387-a8e17af552f2/4641-0
00:33:46.335 --> 00:33:50.055
<v Scalora, Joshua D>These these are not Uris that
you think are blurry.</v>

e8643036-4412-415e-8387-a8e17af552f2/4647-0
00:33:50.055 --> 00:33:53.415
<v Scalora, Joshua D>This is just some proprietary
slides of pulse lights.</v>

e8643036-4412-415e-8387-a8e17af552f2/4692-0
00:33:54.075 --> 00:33:58.359
<v Scalora, Joshua D>So we're not able to show these
screens at this time, but we are</v>

e8643036-4412-415e-8387-a8e17af552f2/4692-1
00:33:58.359 --> 00:34:02.643
<v Scalora, Joshua D>excited to find ways to show you
the outputs from our system. If</v>

e8643036-4412-415e-8387-a8e17af552f2/4692-2
00:34:02.643 --> 00:34:06.663
<v Scalora, Joshua D>we can't exactly show you the
the screens themselves at this</v>

e8643036-4412-415e-8387-a8e17af552f2/4692-3
00:34:06.663 --> 00:34:10.815
<v Scalora, Joshua D>time, I'd be happy to come back
and share some metrics around.</v>

e8643036-4412-415e-8387-a8e17af552f2/4703-0
00:34:10.915 --> 00:34:15.373
<v Scalora, Joshua D>Our use of the tools and some of
the outcomes, so these tools</v>

e8643036-4412-415e-8387-a8e17af552f2/4703-1
00:34:15.373 --> 00:34:16.595
<v Scalora, Joshua D>show us visually.</v>

e8643036-4412-415e-8387-a8e17af552f2/4722-0
00:34:18.135 --> 00:34:20.969
<v Scalora, Joshua D>Individual's history over time
and they can overlay those</v>

e8643036-4412-415e-8387-a8e17af552f2/4722-1
00:34:20.969 --> 00:34:24.144
<v Scalora, Joshua D>things that I was talking about
and then be expanded to show the</v>

e8643036-4412-415e-8387-a8e17af552f2/4722-2
00:34:24.144 --> 00:34:24.535
<v Scalora, Joshua D>details.</v>

e8643036-4412-415e-8387-a8e17af552f2/4758-0
00:34:25.445 --> 00:34:28.785
<v Scalora, Joshua D>So we can actually see the
details of what that incident</v>

e8643036-4412-415e-8387-a8e17af552f2/4758-1
00:34:28.785 --> 00:34:32.300
<v Scalora, Joshua D>report said when it was reported
to us. And we can read the</v>

e8643036-4412-415e-8387-a8e17af552f2/4758-2
00:34:32.300 --> 00:34:35.522
<v Scalora, Joshua D>details of that medical
treatment and we can read what</v>

e8643036-4412-415e-8387-a8e17af552f2/4758-3
00:34:35.522 --> 00:34:38.685
<v Scalora, Joshua D>that abuse, neglect allegation
said all in one place.</v>

e8643036-4412-415e-8387-a8e17af552f2/4796-0
00:34:38.885 --> 00:34:43.113
<v Scalora, Joshua D>Very, very powerful for us. We
use it for the periodic and</v>

e8643036-4412-415e-8387-a8e17af552f2/4796-1
00:34:43.113 --> 00:34:47.412
<v Scalora, Joshua D>detection of the unreported
incidents and to trend analysis</v>

e8643036-4412-415e-8387-a8e17af552f2/4796-2
00:34:47.412 --> 00:34:51.854
<v Scalora, Joshua D>to do trend analysis, looking
for patterns that might lead to</v>

e8643036-4412-415e-8387-a8e17af552f2/4796-3
00:34:51.854 --> 00:34:55.365
<v Scalora, Joshua D>an intervention like a pattern
of non reporting.</v>

e8643036-4412-415e-8387-a8e17af552f2/4802-0
00:34:55.545 --> 00:34:58.265
<v Scalora, Joshua D>A provider or a provider
location?</v>

e8643036-4412-415e-8387-a8e17af552f2/4845-0
00:34:59.815 --> 00:35:03.105
<v Scalora, Joshua D>Right now we're really diving
into the review of emergency</v>

e8643036-4412-415e-8387-a8e17af552f2/4845-1
00:35:03.105 --> 00:35:06.507
<v Scalora, Joshua D>room and the inpatient visits
trying to look for those early</v>

e8643036-4412-415e-8387-a8e17af552f2/4845-2
00:35:06.507 --> 00:35:09.908
<v Scalora, Joshua D>warning signs of the critical
incidents or other events. And</v>

e8643036-4412-415e-8387-a8e17af552f2/4845-3
00:35:09.908 --> 00:35:13.254
<v Scalora, Joshua D>that's what I was kind of just
talking about with the admit</v>

e8643036-4412-415e-8387-a8e17af552f2/4845-4
00:35:13.254 --> 00:35:14.815
<v Scalora, Joshua D>discharge and transfer data.</v>

e8643036-4412-415e-8387-a8e17af552f2/4853-0
00:35:16.875 --> 00:35:19.235
<v Scalora, Joshua D>How else could we use Aura to
help people in the future?</v>

e8643036-4412-415e-8387-a8e17af552f2/4869-0
00:35:20.775 --> 00:35:24.431
<v Scalora, Joshua D>So right now a pulse light is
engaging in a series of</v>

e8643036-4412-415e-8387-a8e17af552f2/4869-1
00:35:24.431 --> 00:35:26.055
<v Scalora, Joshua D>trainings for DDS staff.</v>

e8643036-4412-415e-8387-a8e17af552f2/4902-0
00:35:26.055 --> 00:35:31.419
<v Scalora, Joshua D>And they're pretty expansive in
terms of availability. We cast a</v>

e8643036-4412-415e-8387-a8e17af552f2/4902-1
00:35:31.419 --> 00:35:35.958
<v Scalora, Joshua D>broad net and we're really
training a diverse group of</v>

e8643036-4412-415e-8387-a8e17af552f2/4902-2
00:35:35.958 --> 00:35:41.322
<v Scalora, Joshua D>people from across our system in
access to this information, but</v>

e8643036-4412-415e-8387-a8e17af552f2/4902-3
00:35:41.322 --> 00:35:44.375
<v Scalora, Joshua D>really focusing a lot on
healthcare.</v>

e8643036-4412-415e-8387-a8e17af552f2/4905-0
00:35:45.855 --> 00:35:46.655
<v Scalora, Joshua D>Investigations.</v>

e8643036-4412-415e-8387-a8e17af552f2/4909-0
00:35:47.435 --> 00:35:50.035
<v Scalora, Joshua D>The quality licensing.</v>

e8643036-4412-415e-8387-a8e17af552f2/4958-0
00:35:51.615 --> 00:35:57.140
<v Scalora, Joshua D>Qsr Healthcare and the clinical
folks, the clinical staff in the</v>

e8643036-4412-415e-8387-a8e17af552f2/4958-1
00:35:57.140 --> 00:36:01.645
<v Scalora, Joshua D>regions are some of our most
avid new users. We also</v>

e8643036-4412-415e-8387-a8e17af552f2/4958-2
00:36:01.645 --> 00:36:06.660
<v Scalora, Joshua D>partnered with our Director of
Equity and Inclusion Doctor</v>

e8643036-4412-415e-8387-a8e17af552f2/4958-3
00:36:06.660 --> 00:36:11.335
<v Scalora, Joshua D>Cheryl Ellis, and Doctor Ellis
is starting to conduct.</v>

e8643036-4412-415e-8387-a8e17af552f2/4972-0
00:36:13.135 --> 00:36:17.306
<v Scalora, Joshua D>Use the equity analysis tools to
conduct her own analysis for</v>

e8643036-4412-415e-8387-a8e17af552f2/4972-1
00:36:17.306 --> 00:36:17.575
<v Scalora, Joshua D>DDS.</v>

e8643036-4412-415e-8387-a8e17af552f2/4983-0
00:36:19.015 --> 00:36:23.575
<v Scalora, Joshua D>Based on some some hypothesis
that she has.</v>

e8643036-4412-415e-8387-a8e17af552f2/5007-0
00:36:23.815 --> 00:36:28.669
<v Scalora, Joshua D>So it's becoming more broadly
utilized by DDS and we're</v>

e8643036-4412-415e-8387-a8e17af552f2/5007-1
00:36:28.669 --> 00:36:33.175
<v Scalora, Joshua D>expanding our bench of
individuals who can use this</v>

e8643036-4412-415e-8387-a8e17af552f2/5007-2
00:36:33.175 --> 00:36:34.215
<v Scalora, Joshua D>information.</v>

e8643036-4412-415e-8387-a8e17af552f2/5011-0
00:36:34.855 --> 00:36:37.175
<v Scalora, Joshua D>Pulse lights, also in between
the trainings.</v>

e8643036-4412-415e-8387-a8e17af552f2/5029-0
00:36:38.775 --> 00:36:42.185
<v Scalora, Joshua D>Offers office hours and those
office hours give the</v>

e8643036-4412-415e-8387-a8e17af552f2/5029-1
00:36:42.185 --> 00:36:46.250
<v Scalora, Joshua D>opportunity for DDS staff to
bring their ideas and questions,</v>

e8643036-4412-415e-8387-a8e17af552f2/5029-2
00:36:46.250 --> 00:36:47.495
<v Scalora, Joshua D>problems and needs.</v>

e8643036-4412-415e-8387-a8e17af552f2/5048-0
00:36:48.415 --> 00:36:51.247
<v Scalora, Joshua D>Around the use of this
information to the pulse light</v>

e8643036-4412-415e-8387-a8e17af552f2/5048-1
00:36:51.247 --> 00:36:54.393
<v Scalora, Joshua D>team and have that team work to
solve that for them at that</v>

e8643036-4412-415e-8387-a8e17af552f2/5048-2
00:36:54.393 --> 00:36:54.655
<v Scalora, Joshua D>time.</v>

e8643036-4412-415e-8387-a8e17af552f2/5082-0
00:36:56.705 --> 00:37:00.103
<v Scalora, Joshua D>From my perspective, the
analysis of the trends and</v>

e8643036-4412-415e-8387-a8e17af552f2/5082-1
00:37:00.103 --> 00:37:03.892
<v Scalora, Joshua D>patterns across the fatal 5 and
the adverse conditions is</v>

e8643036-4412-415e-8387-a8e17af552f2/5082-2
00:37:03.892 --> 00:37:07.616
<v Scalora, Joshua D>probably one of the most
insightful tools that I've ever</v>

e8643036-4412-415e-8387-a8e17af552f2/5082-3
00:37:07.616 --> 00:37:08.465
<v Scalora, Joshua D>seen in data.</v>

e8643036-4412-415e-8387-a8e17af552f2/5096-0
00:37:08.465 --> 00:37:11.772
<v Scalora, Joshua D>And I think we're really just
starting to scratch the surface</v>

e8643036-4412-415e-8387-a8e17af552f2/5096-1
00:37:11.772 --> 00:37:13.265
<v Scalora, Joshua D>with our use of these tools.</v>

e8643036-4412-415e-8387-a8e17af552f2/5104-0
00:37:13.665 --> 00:37:18.973
<v Scalora, Joshua D>But these tools were developed,
at least from our perspective,</v>

e8643036-4412-415e-8387-a8e17af552f2/5104-1
00:37:18.973 --> 00:37:19.225
<v Scalora, Joshua D>by.</v>

e8643036-4412-415e-8387-a8e17af552f2/5116-0
00:37:20.015 --> 00:37:24.615
<v Scalora, Joshua D>The necessity to utilize claims
to better understand.</v>

e8643036-4412-415e-8387-a8e17af552f2/5161-0
00:37:25.745 --> 00:37:30.071
<v Scalora, Joshua D>Individuals that we support to
make sure that when people are</v>

e8643036-4412-415e-8387-a8e17af552f2/5161-1
00:37:30.071 --> 00:37:34.535
<v Scalora, Joshua D>supposed to report things to us,
that that's happening and when</v>

e8643036-4412-415e-8387-a8e17af552f2/5161-2
00:37:34.535 --> 00:37:38.442
<v Scalora, Joshua D>follow up is supposed to occur
for things like critical</v>

e8643036-4412-415e-8387-a8e17af552f2/5161-3
00:37:38.442 --> 00:37:42.697
<v Scalora, Joshua D>incidents that are very severe,
that that does occur because</v>

e8643036-4412-415e-8387-a8e17af552f2/5161-4
00:37:42.697 --> 00:37:46.255
<v Scalora, Joshua D>that allows the prevention of a
preventable event.</v>

e8643036-4412-415e-8387-a8e17af552f2/5182-0
00:37:46.265 --> 00:37:49.935
<v Scalora, Joshua D>From that allows us to try to
prevent that from occurring</v>

e8643036-4412-415e-8387-a8e17af552f2/5182-1
00:37:49.935 --> 00:37:52.465
<v Scalora, Joshua D>again and also learn at a system
level.</v>

e8643036-4412-415e-8387-a8e17af552f2/5189-0
00:37:53.255 --> 00:37:56.295
<v Scalora, Joshua D>So I'm really happy to have been
invited here today.</v>

e8643036-4412-415e-8387-a8e17af552f2/5192-0
00:37:57.195 --> 00:37:57.715
<v Scalora, Joshua D>By you.</v>

e8643036-4412-415e-8387-a8e17af552f2/5195-0
00:37:57.835 --> 00:37:58.475
<v Scalora, Joshua D>By you.</v>

e8643036-4412-415e-8387-a8e17af552f2/5205-0
00:37:58.475 --> 00:38:03.195
<v Scalora, Joshua D>I appreciate having the time you
gave me a lot of time.</v>

e8643036-4412-415e-8387-a8e17af552f2/5211-0
00:38:03.235 --> 00:38:05.555
<v Scalora, Joshua D>I sometimes talk a lot more than
I mean to.</v>

e8643036-4412-415e-8387-a8e17af552f2/5218-0
00:38:05.555 --> 00:38:08.875
<v Scalora, Joshua D>So it's tough to sum it all up.</v>

e8643036-4412-415e-8387-a8e17af552f2/5240-0
00:38:08.915 --> 00:38:12.064
<v Scalora, Joshua D>I could probably talk for a
couple of days about these tools</v>

e8643036-4412-415e-8387-a8e17af552f2/5240-1
00:38:12.064 --> 00:38:15.315
<v Scalora, Joshua D>that we're using, and I'm not
sure I gave you the information.</v>

e8643036-4412-415e-8387-a8e17af552f2/5251-0
00:38:15.315 --> 00:38:18.355
<v Scalora, Joshua D>That's the most the thing that's
most important to you.</v>

e8643036-4412-415e-8387-a8e17af552f2/5266-0
00:38:18.355 --> 00:38:22.135
<v Scalora, Joshua D>So I don't know how much more
time you all have for the</v>

e8643036-4412-415e-8387-a8e17af552f2/5266-1
00:38:22.135 --> 00:38:24.835
<v Scalora, Joshua D>discussion, but if you wanna
take over.</v>

e8643036-4412-415e-8387-a8e17af552f2/5273-0
00:38:22.435 --> 00:38:26.715
<v Scheff, Jordan A>So thanks, Josh. If, yeah, I'm
just gonna step in.</v>

e8643036-4412-415e-8387-a8e17af552f2/5280-0
00:38:27.475 --> 00:38:29.035
<v Scheff, Jordan A>Jordan chef, Commissioner, DDS.</v>

e8643036-4412-415e-8387-a8e17af552f2/5286-0
00:38:30.235 --> 00:38:31.395
<v Scheff, Jordan A>So first of all, thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/5296-0
00:38:32.395 --> 00:38:37.555
<v Scheff, Jordan A>I I think in what Josh shared is
an important detail.</v>

e8643036-4412-415e-8387-a8e17af552f2/5313-0
00:38:37.555 --> 00:38:41.304
<v Scheff, Jordan A>I just want to highlight we went
from looking at a tool that</v>

e8643036-4412-415e-8387-a8e17af552f2/5313-1
00:38:41.304 --> 00:38:44.315
<v Scheff, Jordan A>would help us do a look back at
what was missed.</v>

e8643036-4412-415e-8387-a8e17af552f2/5331-0
00:38:45.855 --> 00:38:48.843
<v Scheff, Jordan A>And while we still value and use
that part of the tool, we've</v>

e8643036-4412-415e-8387-a8e17af552f2/5331-1
00:38:48.843 --> 00:38:51.975
<v Scheff, Jordan A>really pivoted to being able to
look forward towards prevention.</v>

e8643036-4412-415e-8387-a8e17af552f2/5360-0
00:38:53.225 --> 00:38:56.933
<v Scheff, Jordan A>Identification of concerns that
don't need health outcomes that</v>

e8643036-4412-415e-8387-a8e17af552f2/5360-1
00:38:56.933 --> 00:39:00.526
<v Scheff, Jordan A>don't need to happen if we can
get involved early enough when</v>

e8643036-4412-415e-8387-a8e17af552f2/5360-2
00:39:00.526 --> 00:39:04.060
<v Scheff, Jordan A>we see things so well, we'll use
it for the the the original</v>

e8643036-4412-415e-8387-a8e17af552f2/5360-3
00:39:04.060 --> 00:39:04.465
<v Scheff, Jordan A>intent.</v>

e8643036-4412-415e-8387-a8e17af552f2/5367-0
00:39:04.905 --> 00:39:07.825
<v Scheff, Jordan A>It does continue to morph and
grow, and not just for us.</v>

e8643036-4412-415e-8387-a8e17af552f2/5372-0
00:39:09.775 --> 00:39:10.895
<v Scheff, Jordan A>Well, the work that Josh has
done.</v>

e8643036-4412-415e-8387-a8e17af552f2/5401-0
00:39:12.495 --> 00:39:15.227
<v Scheff, Jordan A>Other states that Josh and
pulsate have done has been</v>

e8643036-4412-415e-8387-a8e17af552f2/5401-1
00:39:15.227 --> 00:39:18.514
<v Scheff, Jordan A>adopted in other states who also
had really good ideas about how</v>

e8643036-4412-415e-8387-a8e17af552f2/5401-2
00:39:18.514 --> 00:39:20.335
<v Scheff, Jordan A>they may leverage the tool
further.</v>

e8643036-4412-415e-8387-a8e17af552f2/5404-0
00:39:20.895 --> 00:39:22.975
<v Scheff, Jordan A>And so we reap the benefits of.</v>

e8643036-4412-415e-8387-a8e17af552f2/5413-0
00:39:23.845 --> 00:39:26.765
<v Scheff, Jordan A>Of the enhancements are very
often made for other states that</v>

e8643036-4412-415e-8387-a8e17af552f2/5413-1
00:39:26.765 --> 00:39:27.565
<v Scheff, Jordan A>also work for us.</v>

e8643036-4412-415e-8387-a8e17af552f2/5427-0
00:39:29.135 --> 00:39:31.667
<v Scheff, Jordan A>And it's, you know, there's
there's a resource issue in</v>

e8643036-4412-415e-8387-a8e17af552f2/5427-1
00:39:31.667 --> 00:39:32.255
<v Scheff, Jordan A>terms of how?</v>

e8643036-4412-415e-8387-a8e17af552f2/5457-0
00:39:34.415 --> 00:39:37.064
<v Scheff, Jordan A>Staff can save a lot of time
from going out and doing paper</v>

e8643036-4412-415e-8387-a8e17af552f2/5457-1
00:39:37.064 --> 00:39:39.757
<v Scheff, Jordan A>audits of certain things versus
having the data presented to</v>

e8643036-4412-415e-8387-a8e17af552f2/5457-2
00:39:39.757 --> 00:39:41.655
<v Scheff, Jordan A>them in a digestible format at
their desk.</v>

e8643036-4412-415e-8387-a8e17af552f2/5495-0
00:39:41.655 --> 00:39:45.104
<v Scheff, Jordan A>So our licensors, instead of
spending a day flipping through</v>

e8643036-4412-415e-8387-a8e17af552f2/5495-1
00:39:45.104 --> 00:39:48.609
<v Scheff, Jordan A>page by page in a book, they can
spend an hour the day before</v>

e8643036-4412-415e-8387-a8e17af552f2/5495-2
00:39:48.609 --> 00:39:52.114
<v Scheff, Jordan A>prepping for a licensing visit
in, in a lot more time outside</v>

e8643036-4412-415e-8387-a8e17af552f2/5495-3
00:39:52.114 --> 00:39:55.789
<v Scheff, Jordan A>of the book to be helping us on
our licensing and quality visits</v>

e8643036-4412-415e-8387-a8e17af552f2/5495-4
00:39:55.789 --> 00:39:56.015
<v Scheff, Jordan A>the.</v>

e8643036-4412-415e-8387-a8e17af552f2/5500-0
00:39:56.015 --> 00:39:56.775
<v Scheff, Jordan A>Amount of time and travel.</v>

e8643036-4412-415e-8387-a8e17af552f2/5506-0
00:39:56.775 --> 00:39:58.535
<v Scheff, Jordan A>The number of people we send to
a visit.</v>

e8643036-4412-415e-8387-a8e17af552f2/5521-0
00:39:59.235 --> 00:40:03.161
<v Scheff, Jordan A>With a limited number of nurses
who can really leverage that</v>

e8643036-4412-415e-8387-a8e17af552f2/5521-1
00:40:03.161 --> 00:40:06.315
<v Scheff, Jordan A>during the nursing and other
staffing shortages.</v>

e8643036-4412-415e-8387-a8e17af552f2/5532-0
00:40:06.515 --> 00:40:10.967
<v Scheff, Jordan A>So I like the if the Council has
any questions for marlai Malika</v>

e8643036-4412-415e-8387-a8e17af552f2/5532-1
00:40:10.967 --> 00:40:11.515
<v Scheff, Jordan A>or Josh.</v>

e8643036-4412-415e-8387-a8e17af552f2/5537-0
00:40:13.055 --> 00:40:14.255
<v Scheff, Jordan A>To go ahead and fire away.</v>

e8643036-4412-415e-8387-a8e17af552f2/5559-0
00:40:15.935 --> 00:40:18.396
<v Scheff, Jordan A>If that's all right with you,
Patty and I, I think Patty's</v>

e8643036-4412-415e-8387-a8e17af552f2/5559-1
00:40:18.396 --> 00:40:21.108
<v Scheff, Jordan A>been having some trouble getting
bounced off and on and has been</v>

e8643036-4412-415e-8387-a8e17af552f2/5559-2
00:40:21.108 --> 00:40:21.775
<v Scheff, Jordan A>polite about it.</v>

e8643036-4412-415e-8387-a8e17af552f2/5564-0
00:40:21.775 --> 00:40:23.535
<v Scheff, Jordan A>So I don't know if you're on
Patty at the moment.</v>

e8643036-4412-415e-8387-a8e17af552f2/5582-0
00:40:27.155 --> 00:40:29.258
<v Scheff, Jordan A>So with her not present at the
moment and having some</v>

e8643036-4412-415e-8387-a8e17af552f2/5582-1
00:40:29.258 --> 00:40:31.555
<v Scheff, Jordan A>difficulties, or at least not
able to speak at the moment.</v>

e8643036-4412-415e-8387-a8e17af552f2/5585-0
00:40:31.335 --> 00:40:32.095
<v Bronson, Kevin>Commissioner, she is.</v>

e8643036-4412-415e-8387-a8e17af552f2/5588-0
00:40:32.095 --> 00:40:33.775
<v Bronson, Kevin>She just probably is on your
other screen.</v>

e8643036-4412-415e-8387-a8e17af552f2/5594-0
00:40:34.855 --> 00:40:37.055
<v Scheff, Jordan A>OK, she may be.</v>

e8643036-4412-415e-8387-a8e17af552f2/5595-0
00:40:38.015 --> 00:40:38.775
<v Scheff, Jordan A>There she is.</v>

e8643036-4412-415e-8387-a8e17af552f2/5598-0
00:40:38.935 --> 00:40:39.735
<v Scheff, Jordan A>But she's muted.</v>

e8643036-4412-415e-8387-a8e17af552f2/5602-0
00:40:39.735 --> 00:40:40.535
<v Scheff, Jordan A>And she can't talk.</v>

e8643036-4412-415e-8387-a8e17af552f2/5610-0
00:40:40.535 --> 00:40:42.535
<v Scheff, Jordan A>I see her lips moving, OK?</v>

e8643036-4412-415e-8387-a8e17af552f2/5615-0
00:40:42.615 --> 00:40:44.055
<v Scheff, Jordan A>So we're going to work on that.</v>

e8643036-4412-415e-8387-a8e17af552f2/5629-0
00:40:44.615 --> 00:40:47.031
<v Scheff, Jordan A>Are you OK if I sort of
facilitate questioning? She's</v>

e8643036-4412-415e-8387-a8e17af552f2/5629-1
00:40:47.031 --> 00:40:48.015
<v Scheff, Jordan A>nodding along with me.</v>

e8643036-4412-415e-8387-a8e17af552f2/5634-0
00:40:48.015 --> 00:40:51.015
<v Scheff, Jordan A>So anybody have any questions
for the team?</v>

e8643036-4412-415e-8387-a8e17af552f2/5641-0
00:40:55.345 --> 00:40:57.865
<v Scheff, Jordan A>Not seeing any. Oh deedre.</v>

e8643036-4412-415e-8387-a8e17af552f2/5648-0
00:40:59.735 --> 00:41:01.575
<v Deidre Toole>Hi, I'm Deidre, tool council.</v>

e8643036-4412-415e-8387-a8e17af552f2/5693-0
00:41:01.815 --> 00:41:05.031
<v Deidre Toole>This is all new information for
me, so it's it's a lot of</v>

e8643036-4412-415e-8387-a8e17af552f2/5693-1
00:41:05.031 --> 00:41:08.302
<v Deidre Toole>acronyms and a lot of new
different departments et cetera.</v>

e8643036-4412-415e-8387-a8e17af552f2/5693-2
00:41:08.302 --> 00:41:10.964
<v Deidre Toole>But I I find it really
fascinating and it seems</v>

e8643036-4412-415e-8387-a8e17af552f2/5693-3
00:41:10.964 --> 00:41:13.902
<v Deidre Toole>incredible we can be doing all
this to help identify</v>

e8643036-4412-415e-8387-a8e17af552f2/5693-4
00:41:13.902 --> 00:41:16.175
<v Deidre Toole>individuals at risk. My question
is, is.</v>

e8643036-4412-415e-8387-a8e17af552f2/5708-0
00:41:16.255 --> 00:41:19.430
<v Deidre Toole>What ages are we starting with
identifying individuals and</v>

e8643036-4412-415e-8387-a8e17af552f2/5708-1
00:41:19.430 --> 00:41:20.775
<v Deidre Toole>looking at their history?</v>

e8643036-4412-415e-8387-a8e17af552f2/5718-0
00:41:20.775 --> 00:41:23.855
<v Deidre Toole>Are we going back to birth and
history of DCF in their lives?</v>

e8643036-4412-415e-8387-a8e17af552f2/5720-0
00:41:23.895 --> 00:41:24.815
<v Deidre Toole>I didn't know like how.</v>

e8643036-4412-415e-8387-a8e17af552f2/5737-0
00:41:25.615 --> 00:41:28.255
<v Deidre Toole>Early this how how far back
we're going. Are we looking at</v>

e8643036-4412-415e-8387-a8e17af552f2/5737-1
00:41:28.255 --> 00:41:30.895
<v Deidre Toole>during their school age time or
looking at 18 and up only?</v>

e8643036-4412-415e-8387-a8e17af552f2/5742-0
00:41:30.895 --> 00:41:32.815
<v Deidre Toole>I just didn't know what the age
group was for this.</v>

e8643036-4412-415e-8387-a8e17af552f2/5748-0
00:41:35.025 --> 00:41:36.265
<v Scalora, Joshua D>Like an age cutoff.</v>

e8643036-4412-415e-8387-a8e17af552f2/5777-0
00:41:36.265 --> 00:41:39.800
<v Scalora, Joshua D>It's people that we have the
authority to look at, so if it's</v>

e8643036-4412-415e-8387-a8e17af552f2/5777-1
00:41:39.800 --> 00:41:43.164
<v Scalora, Joshua D>someone that's in adds waiver,
they're enrolled on the DDS</v>

e8643036-4412-415e-8387-a8e17af552f2/5777-2
00:41:43.164 --> 00:41:46.585
<v Scalora, Joshua D>waiver, getting adds residential
service on the DDS waiver.</v>

e8643036-4412-415e-8387-a8e17af552f2/5782-0
00:41:46.675 --> 00:41:47.595
<v Scalora, Joshua D>We're looking at them.</v>

e8643036-4412-415e-8387-a8e17af552f2/5811-0
00:41:48.595 --> 00:41:52.935
<v Scalora, Joshua D>We're not going backwards and
doing like life history reviews</v>

e8643036-4412-415e-8387-a8e17af552f2/5811-1
00:41:52.935 --> 00:41:56.995
<v Scalora, Joshua D>or anything like that, but we
have data from the person's</v>

e8643036-4412-415e-8387-a8e17af552f2/5811-2
00:41:56.995 --> 00:42:00.915
<v Scalora, Joshua D>Medicaid enrollment from 2015. I
believe in our system.</v>

e8643036-4412-415e-8387-a8e17af552f2/5824-0
00:42:02.465 --> 00:42:04.945
<v Scalora, Joshua D>Yeah, but we don't go back and
replenish that data.</v>

e8643036-4412-415e-8387-a8e17af552f2/5821-0
00:42:03.045 --> 00:42:03.725
<v Scheff, Jordan A>Almost.</v>

e8643036-4412-415e-8387-a8e17af552f2/5832-0
00:42:04.945 --> 00:42:09.105
<v Scalora, Joshua D>So you know, we as new people
come into our system.</v>

e8643036-4412-415e-8387-a8e17af552f2/5847-0
00:42:10.705 --> 00:42:14.024
<v Scalora, Joshua D>There in our system, and they're
always in the Medicaid system at</v>

e8643036-4412-415e-8387-a8e17af552f2/5847-1
00:42:14.024 --> 00:42:14.225
<v Scalora, Joshua D>DSS.</v>

e8643036-4412-415e-8387-a8e17af552f2/5856-0
00:42:14.225 --> 00:42:18.505
<v Scalora, Joshua D>So we match our people up with
their people and that's how we.</v>

e8643036-4412-415e-8387-a8e17af552f2/5858-0
00:42:19.185 --> 00:42:19.945
<v Scalora, Joshua D>Use that data.</v>

e8643036-4412-415e-8387-a8e17af552f2/5891-0
00:42:20.675 --> 00:42:23.762
<v Deidre Toole>So I just because I work in a
school system. I, you know, I</v>

e8643036-4412-415e-8387-a8e17af552f2/5870-0
00:42:23.355 --> 00:42:23.515
<v Scalora, Joshua D>Yeah.</v>

e8643036-4412-415e-8387-a8e17af552f2/5891-1
00:42:23.762 --> 00:42:26.797
<v Deidre Toole>think from birth to 22, the
incidence of DCF in some of my</v>

e8643036-4412-415e-8387-a8e17af552f2/5891-2
00:42:26.797 --> 00:42:29.574
<v Deidre Toole>individuals lives and what's
been happening with them</v>

e8643036-4412-415e-8387-a8e17af552f2/5891-3
00:42:29.574 --> 00:42:32.712
<v Deidre Toole>medically and also use neglect,
it seems like it would be an</v>

e8643036-4412-415e-8387-a8e17af552f2/5891-4
00:42:32.712 --> 00:42:33.535
<v Deidre Toole>important piece.</v>

e8643036-4412-415e-8387-a8e17af552f2/5899-0
00:42:33.535 --> 00:42:35.875
<v Deidre Toole>Of data to follow up on at some
point, but maybe not.</v>

e8643036-4412-415e-8387-a8e17af552f2/5913-0
00:42:35.495 --> 00:42:38.895
<v Scalora, Joshua D>Yeah. So DCF is not Medicaid
funded.</v>

e8643036-4412-415e-8387-a8e17af552f2/5944-0
00:42:38.895 --> 00:42:42.958
<v Scalora, Joshua D>And so the Commissioner chef is
very, I'll just say, commit, I</v>

e8643036-4412-415e-8387-a8e17af552f2/5911-0
00:42:39.345 --> 00:42:39.625
<v Deidre Toole>Hey.</v>

e8643036-4412-415e-8387-a8e17af552f2/5944-1
00:42:42.958 --> 00:42:46.635
<v Scalora, Joshua D>know, Commissioner Chef is
interested in sharing the the</v>

e8643036-4412-415e-8387-a8e17af552f2/5944-2
00:42:46.635 --> 00:42:50.246
<v Scalora, Joshua D>good news of what he's been able
to learn by using this</v>

e8643036-4412-415e-8387-a8e17af552f2/5944-3
00:42:50.246 --> 00:42:53.535
<v Scalora, Joshua D>information with his colleagues
at other agencies.</v>

e8643036-4412-415e-8387-a8e17af552f2/5949-0
00:42:54.465 --> 00:42:55.345
<v Scheff, Jordan A>We are we.</v>

e8643036-4412-415e-8387-a8e17af552f2/5990-0
00:42:55.345 --> 00:42:59.475
<v Scheff, Jordan A>We we are working hard to ask
our sister agencies involved in</v>

e8643036-4412-415e-8387-a8e17af552f2/5990-1
00:42:59.475 --> 00:43:03.538
<v Scheff, Jordan A>the Medicaid space. So D, Miss
DSS potentially DCF because a</v>

e8643036-4412-415e-8387-a8e17af552f2/5990-2
00:43:03.538 --> 00:43:07.068
<v Scheff, Jordan A>number of their kids do get
Medicaid, but any of our</v>

e8643036-4412-415e-8387-a8e17af552f2/5990-3
00:43:07.068 --> 00:43:10.665
<v Scheff, Jordan A>partners birth to three or
office of early childhood.</v>

e8643036-4412-415e-8387-a8e17af552f2/5992-0
00:43:12.175 --> 00:43:12.535
<v Scheff, Jordan A>We think.</v>

e8643036-4412-415e-8387-a8e17af552f2/6020-0
00:43:14.585 --> 00:43:17.831
<v Scheff, Jordan A>If the Medicaid dollars are
spent on them and we have</v>

e8643036-4412-415e-8387-a8e17af552f2/6020-1
00:43:17.831 --> 00:43:21.498
<v Scheff, Jordan A>Medicaid data that can help us
learn something, I personally</v>

e8643036-4412-415e-8387-a8e17af552f2/6020-2
00:43:21.498 --> 00:43:25.225
<v Scheff, Jordan A>believe we should be harnessing
that for dozens and dozens of</v>

e8643036-4412-415e-8387-a8e17af552f2/6020-3
00:43:25.225 --> 00:43:25.585
<v Scheff, Jordan A>years.</v>

e8643036-4412-415e-8387-a8e17af552f2/6044-0
00:43:25.585 --> 00:43:29.385
<v Scheff, Jordan A>States in the country sat on
piles of piles of data that</v>

e8643036-4412-415e-8387-a8e17af552f2/6044-1
00:43:29.385 --> 00:43:33.385
<v Scheff, Jordan A>could really inform a better
outcome and a better lives for</v>

e8643036-4412-415e-8387-a8e17af552f2/6044-2
00:43:33.385 --> 00:43:36.785
<v Scheff, Jordan A>folks without any real ability
to do much with it.</v>

e8643036-4412-415e-8387-a8e17af552f2/6055-0
00:43:36.785 --> 00:43:39.918
<v Scheff, Jordan A>'Cause it's it's mountainous and
I don't know Malika, if you have</v>

e8643036-4412-415e-8387-a8e17af552f2/6055-1
00:43:39.918 --> 00:43:40.345
<v Scheff, Jordan A>any idea.</v>

e8643036-4412-415e-8387-a8e17af552f2/6067-0
00:43:41.095 --> 00:43:43.487
<v Scheff, Jordan A>In the state of Connecticut, how
many data points we're talking</v>

e8643036-4412-415e-8387-a8e17af552f2/6067-1
00:43:43.487 --> 00:43:44.495
<v Scheff, Jordan A>about that you've ingested?</v>

e8643036-4412-415e-8387-a8e17af552f2/6076-0
00:43:45.575 --> 00:43:47.375
<v Scheff, Jordan A>But it's you have a ballpark.</v>

e8643036-4412-415e-8387-a8e17af552f2/6085-0
00:43:46.775 --> 00:43:50.655
<v Mallika Thanky>Over a billion, I think we have
over a billion records now.</v>

e8643036-4412-415e-8387-a8e17af552f2/6096-0
00:43:50.895 --> 00:43:54.141
<v Mallika Thanky>That's for all of Medicaid,
though. For your population it's</v>

e8643036-4412-415e-8387-a8e17af552f2/6096-1
00:43:54.141 --> 00:43:56.215
<v Mallika Thanky>significantly smaller, but it's
a lot.</v>

e8643036-4412-415e-8387-a8e17af552f2/6099-0
00:43:56.845 --> 00:43:58.045
<v Scheff, Jordan A>That's for Connecticut, right?</v>

e8643036-4412-415e-8387-a8e17af552f2/6101-0
00:43:59.765 --> 00:43:59.885
<v Mallika Thanky>Yep.</v>

e8643036-4412-415e-8387-a8e17af552f2/6124-0
00:44:00.335 --> 00:44:03.969
<v Scheff, Jordan A>So every state has Medicaid data
and it just sits in stacks and</v>

e8643036-4412-415e-8387-a8e17af552f2/6124-1
00:44:03.969 --> 00:44:07.375
<v Scheff, Jordan A>drawers, and no one knows how
to. No one was harnessing it.</v>

e8643036-4412-415e-8387-a8e17af552f2/6128-0
00:44:07.415 --> 00:44:08.695
<v Scheff, Jordan A>And now we can.</v>

e8643036-4412-415e-8387-a8e17af552f2/6148-0
00:44:09.175 --> 00:44:12.148
<v Scheff, Jordan A>And to have that's and that's my
point. If you can have</v>

e8643036-4412-415e-8387-a8e17af552f2/6148-1
00:44:12.148 --> 00:44:15.651
<v Scheff, Jordan A>information that can help you do
a better job at your fingertips,</v>

e8643036-4412-415e-8387-a8e17af552f2/6148-2
00:44:15.651 --> 00:44:17.615
<v Scheff, Jordan A>it's right there at your
fingertips.</v>

e8643036-4412-415e-8387-a8e17af552f2/6155-0
00:44:17.655 --> 00:44:19.495
<v Scheff, Jordan A>No one has to do a desk on it.</v>

e8643036-4412-415e-8387-a8e17af552f2/6165-0
00:44:19.495 --> 00:44:23.794
<v Scheff, Jordan A>It's it's. It's pretty powerful
it for me. If I could go back 30</v>

e8643036-4412-415e-8387-a8e17af552f2/6165-1
00:44:23.794 --> 00:44:26.175
<v Scheff, Jordan A>years and have access to this
data.</v>

e8643036-4412-415e-8387-a8e17af552f2/6174-0
00:44:26.695 --> 00:44:29.424
<v Scheff, Jordan A>Regard to things I might have
prevented and the things we're</v>

e8643036-4412-415e-8387-a8e17af552f2/6174-1
00:44:29.424 --> 00:44:30.095
<v Scheff, Jordan A>preventing now.</v>

e8643036-4412-415e-8387-a8e17af552f2/6210-0
00:44:33.695 --> 00:44:37.435
<v Scheff, Jordan A>Josh has a staff that works for
him, so in addition to some of</v>

e8643036-4412-415e-8387-a8e17af552f2/6210-1
00:44:37.435 --> 00:44:40.640
<v Scheff, Jordan A>the other people who are
starting to get involved, we</v>

e8643036-4412-415e-8387-a8e17af552f2/6210-2
00:44:40.640 --> 00:44:44.439
<v Scheff, Jordan A>review cases weekly and we are
routinely and we have found some</v>

e8643036-4412-415e-8387-a8e17af552f2/6210-3
00:44:44.439 --> 00:44:47.882
<v Scheff, Jordan A>things we have found some
curious things in the data that</v>

e8643036-4412-415e-8387-a8e17af552f2/6210-4
00:44:47.882 --> 00:44:48.535
<v Scheff, Jordan A>made us go.</v>

e8643036-4412-415e-8387-a8e17af552f2/6222-0
00:44:48.535 --> 00:44:51.409
<v Scheff, Jordan A>Back and ask a question that led
to a better outcome for an</v>

e8643036-4412-415e-8387-a8e17af552f2/6222-1
00:44:51.409 --> 00:44:51.935
<v Scheff, Jordan A>individual.</v>

e8643036-4412-415e-8387-a8e17af552f2/6233-0
00:44:52.975 --> 00:44:55.815
<v Scheff, Jordan A>I know of that particular story
'cause I heard it directly.</v>

e8643036-4412-415e-8387-a8e17af552f2/6239-0
00:44:56.015 --> 00:44:58.855
<v Scheff, Jordan A>I know that that story occurs
over and over and over now.</v>

e8643036-4412-415e-8387-a8e17af552f2/6247-0
00:44:59.645 --> 00:45:02.165
<v Scheff, Jordan A>And it did not occur three years
ago. We didn't.</v>

e8643036-4412-415e-8387-a8e17af552f2/6256-0
00:45:02.165 --> 00:45:04.165
<v Scheff, Jordan A>We didn't know how to do that.
We couldn't do that.</v>

e8643036-4412-415e-8387-a8e17af552f2/6263-0
00:45:04.165 --> 00:45:05.645
<v Scheff, Jordan A>We have no eyes on that data.</v>

e8643036-4412-415e-8387-a8e17af552f2/6277-0
00:45:06.205 --> 00:45:10.307
<v Scheff, Jordan A>So to me, if we, you know, it's
like that starfish sort of poem,</v>

e8643036-4412-415e-8387-a8e17af552f2/6277-1
00:45:10.307 --> 00:45:10.685
<v Scheff, Jordan A>right?</v>

e8643036-4412-415e-8387-a8e17af552f2/6296-0
00:45:10.685 --> 00:45:13.444
<v Scheff, Jordan A>If you may not matter to all the
starfish, but it matters to that</v>

e8643036-4412-415e-8387-a8e17af552f2/6296-1
00:45:13.444 --> 00:45:15.826
<v Scheff, Jordan A>one if we can help one person
have a better life through</v>

e8643036-4412-415e-8387-a8e17af552f2/6296-2
00:45:15.826 --> 00:45:18.125
<v Scheff, Jordan A>harnessing that data. It's
incumbent upon us to do so.</v>

e8643036-4412-415e-8387-a8e17af552f2/6302-0
00:45:18.245 --> 00:45:20.746
<v Scheff, Jordan A>And that's my message to my
colleagues when I talk about</v>

e8643036-4412-415e-8387-a8e17af552f2/6302-1
00:45:20.746 --> 00:45:20.965
<v Scheff, Jordan A>this.</v>

e8643036-4412-415e-8387-a8e17af552f2/6304-0
00:45:24.545 --> 00:45:25.105
<v Scheff, Jordan A>Adrian.</v>

e8643036-4412-415e-8387-a8e17af552f2/6312-0
00:45:26.245 --> 00:45:27.085
<v aadriennebb@gmail.com>Yes. Am I on?</v>

e8643036-4412-415e-8387-a8e17af552f2/6340-0
00:45:27.125 --> 00:45:30.837
<v aadriennebb@gmail.com>Hi. Hello. Adrian. Benjamin,
councilmember. First of all,</v>

e8643036-4412-415e-8387-a8e17af552f2/6316-0
00:45:27.965 --> 00:45:28.565
<v Scheff, Jordan A>I'm like Yep.</v>

e8643036-4412-415e-8387-a8e17af552f2/6340-1
00:45:30.837 --> 00:45:34.613
<v aadriennebb@gmail.com>this is amazing and I'm really
impressed. And when I heard</v>

e8643036-4412-415e-8387-a8e17af552f2/6340-2
00:45:34.613 --> 00:45:38.645
<v aadriennebb@gmail.com>there was a presentation about
Pulse light, I thought, what is</v>

e8643036-4412-415e-8387-a8e17af552f2/6340-3
00:45:38.645 --> 00:45:38.965
<v aadriennebb@gmail.com>that?</v>

e8643036-4412-415e-8387-a8e17af552f2/6341-0
00:45:39.045 --> 00:45:39.925
<v aadriennebb@gmail.com>But now I know.</v>

e8643036-4412-415e-8387-a8e17af552f2/6343-0
00:45:39.965 --> 00:45:40.565
<v aadriennebb@gmail.com>So thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/6346-0
00:45:42.135 --> 00:45:42.975
<v aadriennebb@gmail.com>Two questions.</v>

e8643036-4412-415e-8387-a8e17af552f2/6356-0
00:45:42.975 --> 00:45:47.175
<v aadriennebb@gmail.com>One is for someone that has both
private insurance and Medicaid.</v>

e8643036-4412-415e-8387-a8e17af552f2/6379-0
00:45:47.295 --> 00:45:50.459
<v aadriennebb@gmail.com>At least my own personal
situation with my daughter. She</v>

e8643036-4412-415e-8387-a8e17af552f2/6367-0
00:45:50.095 --> 00:45:50.255
<v Scalora, Joshua D>Yeah.</v>

e8643036-4412-415e-8387-a8e17af552f2/6379-1
00:45:50.459 --> 00:45:53.623
<v aadriennebb@gmail.com>has private insurance and
Medicaid, so private insurance</v>

e8643036-4412-415e-8387-a8e17af552f2/6379-2
00:45:53.623 --> 00:45:54.455
<v aadriennebb@gmail.com>is built first.</v>

e8643036-4412-415e-8387-a8e17af552f2/6383-0
00:45:54.815 --> 00:45:55.895
<v aadriennebb@gmail.com>Do you get that data?</v>

e8643036-4412-415e-8387-a8e17af552f2/6389-0
00:45:56.725 --> 00:45:59.205
<v Scalora, Joshua D>We can't get the private
through.</v>

e8643036-4412-415e-8387-a8e17af552f2/6399-0
00:45:59.695 --> 00:46:00.975
<v aadriennebb@gmail.com>Boo, yes.</v>

e8643036-4412-415e-8387-a8e17af552f2/6405-0
00:46:00.745 --> 00:46:03.488
<v Scalora, Joshua D>Through Medicaid, we don't get
private through Medicaid. That's</v>

e8643036-4412-415e-8387-a8e17af552f2/6405-1
00:46:03.488 --> 00:46:03.745
<v Scalora, Joshua D>right.</v>

e8643036-4412-415e-8387-a8e17af552f2/6435-0
00:46:03.745 --> 00:46:08.292
<v Scalora, Joshua D>So I won't get into it too much,
but there's another supplemental</v>

e8643036-4412-415e-8387-a8e17af552f2/6435-1
00:46:08.292 --> 00:46:12.356
<v Scalora, Joshua D>data source that we're getting
the ADT data from the admit</v>

e8643036-4412-415e-8387-a8e17af552f2/6435-2
00:46:12.356 --> 00:46:13.665
<v Scalora, Joshua D>discharge transfer.</v>

e8643036-4412-415e-8387-a8e17af552f2/6446-0
00:46:13.665 --> 00:46:18.033
<v Scalora, Joshua D>That's Connie to the state's
health information exchange. Too</v>

e8643036-4412-415e-8387-a8e17af552f2/6450-0
00:46:18.025 --> 00:46:19.145
<v aadriennebb@gmail.com>Oh yes, I know that time.</v>

e8643036-4412-415e-8387-a8e17af552f2/6446-1
00:46:18.033 --> 00:46:18.385
<v Scalora, Joshua D>many.</v>

e8643036-4412-415e-8387-a8e17af552f2/6449-0
00:46:18.385 --> 00:46:19.025
<v Scalora, Joshua D>It's another.</v>

e8643036-4412-415e-8387-a8e17af552f2/6455-0
00:46:19.025 --> 00:46:20.225
<v Scalora, Joshua D>It's an I know.</v>

e8643036-4412-415e-8387-a8e17af552f2/6459-0
00:46:20.625 --> 00:46:23.065
<v Scalora, Joshua D>Next time I'll bring a diagram.</v>

e8643036-4412-415e-8387-a8e17af552f2/6457-0
00:46:20.785 --> 00:46:21.665
<v aadriennebb@gmail.com>I know that, Connie.</v>

e8643036-4412-415e-8387-a8e17af552f2/6463-0
00:46:23.105 --> 00:46:24.985
<v Scalora, Joshua D>I know, I apologize.</v>

e8643036-4412-415e-8387-a8e17af552f2/6466-0
00:46:26.025 --> 00:46:27.465
<v Scalora, Joshua D>But basically.</v>

e8643036-4412-415e-8387-a8e17af552f2/6495-0
00:46:29.025 --> 00:46:32.482
<v Scalora, Joshua D>If our medical information in
the state of Connecticut goes</v>

e8643036-4412-415e-8387-a8e17af552f2/6495-1
00:46:32.482 --> 00:46:36.054
<v Scalora, Joshua D>into an electronic health record
system, it's supposed to get</v>

e8643036-4412-415e-8387-a8e17af552f2/6495-2
00:46:36.054 --> 00:46:39.395
<v Scalora, Joshua D>transferred to the health
information exchange and that's</v>

e8643036-4412-415e-8387-a8e17af552f2/6495-3
00:46:39.395 --> 00:46:39.625
<v Scalora, Joshua D>all.</v>

e8643036-4412-415e-8387-a8e17af552f2/6506-0
00:46:40.225 --> 00:46:45.745
<v Scalora, Joshua D>All medical, no matter private.
Whoever pays all payers right.</v>

e8643036-4412-415e-8387-a8e17af552f2/6527-0
00:46:45.745 --> 00:46:49.360
<v Scalora, Joshua D>So we maybe in the future be
able to bring that in, but right</v>

e8643036-4412-415e-8387-a8e17af552f2/6527-1
00:46:49.360 --> 00:46:52.975
<v Scalora, Joshua D>now through the authority that
we have to access information,</v>

e8643036-4412-415e-8387-a8e17af552f2/6527-2
00:46:52.975 --> 00:46:54.665
<v Scalora, Joshua D>we don't have access to that.</v>

e8643036-4412-415e-8387-a8e17af552f2/6553-0
00:46:56.105 --> 00:46:59.301
<v Scheff, Jordan A>We are in pursuit of Medicare
data 'cause about 40% of our</v>

e8643036-4412-415e-8387-a8e17af552f2/6553-1
00:46:59.301 --> 00:47:02.225
<v Scheff, Jordan A>population is duly enrolled in
Medicaid and Medicare.</v>

e8643036-4412-415e-8387-a8e17af552f2/6570-0
00:47:03.305 --> 00:47:06.623
<v Scheff, Jordan A>So we're in the process of
trying to incorporate that</v>

e8643036-4412-415e-8387-a8e17af552f2/6570-1
00:47:06.623 --> 00:47:09.265
<v Scheff, Jordan A>Pennsylvania's gonna beat us to
the punch.</v>

e8643036-4412-415e-8387-a8e17af552f2/6597-0
00:47:09.265 --> 00:47:12.591
<v Scheff, Jordan A>They may have already done it
and I'll be jealous of Kristen</v>

e8643036-4412-415e-8387-a8e17af552f2/6597-1
00:47:12.591 --> 00:47:15.644
<v Scheff, Jordan A>and her team there for pushing
that with their Medicaid</v>

e8643036-4412-415e-8387-a8e17af552f2/6597-2
00:47:15.644 --> 00:47:17.825
<v Scheff, Jordan A>organization, but we're we're
we're on.</v>

e8643036-4412-415e-8387-a8e17af552f2/6599-0
00:47:17.825 --> 00:47:18.225
<v Scheff, Jordan A>We're on the way.</v>

e8643036-4412-415e-8387-a8e17af552f2/6610-0
00:47:18.845 --> 00:47:21.365
<v Scalora, Joshua D>And I have to say I have to
apologize.</v>

e8643036-4412-415e-8387-a8e17af552f2/6638-0
00:47:21.365 --> 00:47:25.484
<v Scalora, Joshua D>I do have to run, but I might be
able to stay for your last</v>

e8643036-4412-415e-8387-a8e17af552f2/6638-1
00:47:25.484 --> 00:47:29.740
<v Scalora, Joshua D>question, just there may be more
questions that I if it's OK,</v>

e8643036-4412-415e-8387-a8e17af552f2/6638-2
00:47:29.740 --> 00:47:32.485
<v Scalora, Joshua D>I'll be happy to follow up with
you on.</v>

e8643036-4412-415e-8387-a8e17af552f2/6643-0
00:47:34.165 --> 00:47:35.165
<v Scheff, Jordan A>Was there one more Adrian?</v>

e8643036-4412-415e-8387-a8e17af552f2/6642-0
00:47:34.595 --> 00:47:35.075
<v Scalora, Joshua D>Wonderful.</v>

e8643036-4412-415e-8387-a8e17af552f2/6652-0
00:47:36.905 --> 00:47:37.905
<v Scheff, Jordan A>Nope, you're good right now.</v>

e8643036-4412-415e-8387-a8e17af552f2/6646-0
00:47:36.965 --> 00:47:37.445
<v Scalora, Joshua D>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/6653-0
00:47:38.425 --> 00:47:38.985
<v Scheff, Jordan A>All right.</v>

e8643036-4412-415e-8387-a8e17af552f2/6655-0
00:47:38.605 --> 00:47:39.445
<v Scalora, Joshua D>Thank you so much.</v>

e8643036-4412-415e-8387-a8e17af552f2/6662-0
00:47:39.745 --> 00:47:40.505
<v Scheff, Jordan A>Thanks Josh.</v>

e8643036-4412-415e-8387-a8e17af552f2/6670-0
00:47:40.505 --> 00:47:43.345
<v Scheff, Jordan A>Thanks Malika and I I lost him.</v>

e8643036-4412-415e-8387-a8e17af552f2/6659-0
00:47:40.555 --> 00:47:40.955
<v aadriennebb@gmail.com>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/6675-0
00:47:43.825 --> 00:47:47.345
<v Scheff, Jordan A>Malai moral. Oh, there he is.</v>

e8643036-4412-415e-8387-a8e17af552f2/6672-0
00:47:44.455 --> 00:47:45.935
<v Scalora, Joshua D>Raleigh, murali's there.</v>

e8643036-4412-415e-8387-a8e17af552f2/6678-0
00:47:47.345 --> 00:47:48.265
<v Scheff, Jordan A>He's next to Malika.</v>

e8643036-4412-415e-8387-a8e17af552f2/6684-0
00:47:48.265 --> 00:47:50.185
<v Scheff, Jordan A>You moved around during the
presentation.</v>

e8643036-4412-415e-8387-a8e17af552f2/6688-0
00:47:50.745 --> 00:47:51.785
<v Scheff, Jordan A>Thank you for attending.</v>

e8643036-4412-415e-8387-a8e17af552f2/6704-0
00:47:52.145 --> 00:47:55.489
<v Scheff, Jordan A>I'm sure that we'll have other
opportunities to talk about this</v>

e8643036-4412-415e-8387-a8e17af552f2/6704-1
00:47:55.489 --> 00:47:57.265
<v Scheff, Jordan A>more, but I I want to thank
Josh.</v>

e8643036-4412-415e-8387-a8e17af552f2/6716-0
00:47:57.265 --> 00:48:00.741
<v Scheff, Jordan A>He gives me a lot of credit for
leadership on this, but we have.</v>

e8643036-4412-415e-8387-a8e17af552f2/6716-1
00:48:00.741 --> 00:48:02.185
<v Scheff, Jordan A>Josh has been pushing this.</v>

e8643036-4412-415e-8387-a8e17af552f2/6759-0
00:48:02.985 --> 00:48:06.561
<v Scheff, Jordan A>Gentle, steady pressure for a
number of years and it's one of</v>

e8643036-4412-415e-8387-a8e17af552f2/6759-1
00:48:06.561 --> 00:48:09.906
<v Scheff, Jordan A>those things that's hard to see
how it's going to pay off</v>

e8643036-4412-415e-8387-a8e17af552f2/6759-2
00:48:09.906 --> 00:48:13.481
<v Scheff, Jordan A>because you're in the weeds of
it and he's deep and deeply in</v>

e8643036-4412-415e-8387-a8e17af552f2/6759-3
00:48:13.481 --> 00:48:17.057
<v Scheff, Jordan A>the weeds. But we have pushed
and pushed and pushed and we're</v>

e8643036-4412-415e-8387-a8e17af552f2/6759-4
00:48:17.057 --> 00:48:17.345
<v Scheff, Jordan A>real.</v>

e8643036-4412-415e-8387-a8e17af552f2/6803-0
00:48:17.625 --> 00:48:21.159
<v Scheff, Jordan A>Outcomes, and I think for
friends at the Office of the</v>

e8643036-4412-415e-8387-a8e17af552f2/6803-1
00:48:21.159 --> 00:48:24.821
<v Scheff, Jordan A>Inspector General, they
certainly would have liked us to</v>

e8643036-4412-415e-8387-a8e17af552f2/6803-2
00:48:24.821 --> 00:48:28.997
<v Scheff, Jordan A>go faster. But I think given the
way the, the, the new rule from</v>

e8643036-4412-415e-8387-a8e17af552f2/6803-3
00:48:28.997 --> 00:48:32.145
<v Scheff, Jordan A>CMS, the access rule is written
indicates to us.</v>

e8643036-4412-415e-8387-a8e17af552f2/6820-0
00:48:32.885 --> 00:48:36.179
<v Scheff, Jordan A>That they've liked what we've
done and they'd like more states</v>

e8643036-4412-415e-8387-a8e17af552f2/6820-1
00:48:36.179 --> 00:48:38.165
<v Scheff, Jordan A>to do something like what we've
done.</v>

e8643036-4412-415e-8387-a8e17af552f2/6821-0
00:48:38.885 --> 00:48:40.405
<v Scheff, Jordan A>They're gonna set the floor.</v>

e8643036-4412-415e-8387-a8e17af552f2/6830-0
00:48:41.945 --> 00:48:44.745
<v Scheff, Jordan A>This this product will go far
beyond the floor, but.</v>

e8643036-4412-415e-8387-a8e17af552f2/6870-0
00:48:46.745 --> 00:48:49.568
<v Scheff, Jordan A>We we think that that we have
led here pretty strongly and</v>

e8643036-4412-415e-8387-a8e17af552f2/6870-1
00:48:49.568 --> 00:48:52.486
<v Scheff, Jordan A>recognized for the work we could
have just made an Excel and</v>

e8643036-4412-415e-8387-a8e17af552f2/6870-2
00:48:52.486 --> 00:48:55.309
<v Scheff, Jordan A>access thing that was 500 pages
long and sat somebody in a</v>

e8643036-4412-415e-8387-a8e17af552f2/6870-3
00:48:55.309 --> 00:48:57.940
<v Scheff, Jordan A>corner to pour through it and
see if they saw anything</v>

e8643036-4412-415e-8387-a8e17af552f2/6870-4
00:48:57.940 --> 00:48:58.705
<v Scheff, Jordan A>interesting and.</v>

e8643036-4412-415e-8387-a8e17af552f2/6880-0
00:48:58.705 --> 00:49:01.217
<v Scheff, Jordan A>As my friend John Martin, who's
also looked into this product</v>

e8643036-4412-415e-8387-a8e17af552f2/6874-0
00:48:59.125 --> 00:48:59.245
<v Scalora, Joshua D>Yep.</v>

e8643036-4412-415e-8387-a8e17af552f2/6880-1
00:49:01.217 --> 00:49:01.905
<v Scheff, Jordan A>quite a bit says.</v>

e8643036-4412-415e-8387-a8e17af552f2/6896-0
00:49:02.495 --> 00:49:06.035
<v Scheff, Jordan A>Just because it's interesting
doesn't mean it's important.</v>

e8643036-4412-415e-8387-a8e17af552f2/6896-1
00:49:06.035 --> 00:49:08.615
<v Scheff, Jordan A>What we can learn here is that
the things.</v>

e8643036-4412-415e-8387-a8e17af552f2/6901-0
00:49:10.185 --> 00:49:10.665
<v Scheff, Jordan A>I have to use.</v>

e8643036-4412-415e-8387-a8e17af552f2/6914-0
00:49:10.905 --> 00:49:12.989
<v Scheff, Jordan A>I use that all the time to
reframe because I go down rabbit</v>

e8643036-4412-415e-8387-a8e17af552f2/6919-0
00:49:12.915 --> 00:49:14.675
<v Scalora, Joshua D>Yeah, me too.</v>

e8643036-4412-415e-8387-a8e17af552f2/6914-1
00:49:12.989 --> 00:49:14.065
<v Scheff, Jordan A>holes. Right. It's interesting.</v>

e8643036-4412-415e-8387-a8e17af552f2/6918-0
00:49:14.065 --> 00:49:14.745
<v Scheff, Jordan A>But is it important?</v>

e8643036-4412-415e-8387-a8e17af552f2/6926-0
00:49:15.065 --> 00:49:16.425
<v Scheff, Jordan A>Let's move on to the next thing.</v>

e8643036-4412-415e-8387-a8e17af552f2/6970-0
00:49:16.425 --> 00:49:19.953
<v Scheff, Jordan A>So, Jonathan, I think about that
phrase from John often, but it</v>

e8643036-4412-415e-8387-a8e17af552f2/6970-1
00:49:19.953 --> 00:49:23.592
<v Scheff, Jordan A>helps us see what's important in
right away it it pops. Christina</v>

e8643036-4412-415e-8387-a8e17af552f2/6970-2
00:49:23.592 --> 00:49:26.789
<v Scheff, Jordan A>Latimer, who didn't join us
tonight for the presentation,</v>

e8643036-4412-415e-8387-a8e17af552f2/6970-3
00:49:26.789 --> 00:49:29.931
<v Scheff, Jordan A>works for Josh and she is
rifling through incidents at a</v>

e8643036-4412-415e-8387-a8e17af552f2/6970-4
00:49:29.931 --> 00:49:31.585
<v Scheff, Jordan A>rate we never could have done.</v>

e8643036-4412-415e-8387-a8e17af552f2/6974-0
00:49:31.745 --> 00:49:32.545
<v Scheff, Jordan A>Follow up before.</v>

e8643036-4412-415e-8387-a8e17af552f2/6985-0
00:49:33.005 --> 00:49:35.405
<v Scheff, Jordan A>And we're going to get to
automated push notifications.</v>

e8643036-4412-415e-8387-a8e17af552f2/6989-0
00:49:35.405 --> 00:49:36.525
<v Scheff, Jordan A>And there's more and more to
come.</v>

e8643036-4412-415e-8387-a8e17af552f2/6992-0
00:49:36.525 --> 00:49:38.285
<v Scheff, Jordan A>But thank you to the team.</v>

e8643036-4412-415e-8387-a8e17af552f2/7011-0
00:49:38.445 --> 00:49:41.593
<v Scheff, Jordan A>Thank you for to our friends at
Pulse Light Nora, and to you,</v>

e8643036-4412-415e-8387-a8e17af552f2/7011-1
00:49:41.593 --> 00:49:43.725
<v Scheff, Jordan A>Josh, for showing up and sharing
tonight.</v>

e8643036-4412-415e-8387-a8e17af552f2/7016-0
00:49:43.725 --> 00:49:44.525
<v Scheff, Jordan A>I appreciate you.</v>

e8643036-4412-415e-8387-a8e17af552f2/7019-0
00:49:45.195 --> 00:49:46.195
<v Scalora, Joshua D>Thanks so much everyone.</v>

e8643036-4412-415e-8387-a8e17af552f2/7022-0
00:49:46.195 --> 00:49:47.595
<v Scalora, Joshua D>Have a great evening. Take care.</v>

e8643036-4412-415e-8387-a8e17af552f2/7028-0
00:49:52.025 --> 00:49:53.625
<v Patti Silva>Alright, Patty Silver, Council
chair.</v>

e8643036-4412-415e-8387-a8e17af552f2/7030-0
00:49:53.625 --> 00:49:54.465
<v Patti Silva>Can everybody hear me?</v>

e8643036-4412-415e-8387-a8e17af552f2/7034-0
00:49:55.325 --> 00:49:56.125
<v Scheff, Jordan A>Yes, we can.</v>

e8643036-4412-415e-8387-a8e17af552f2/7047-0
00:49:56.345 --> 00:49:59.665
<v Patti Silva>I know, but I, you know, I can't
push any of the buttons.</v>

e8643036-4412-415e-8387-a8e17af552f2/7052-0
00:49:59.865 --> 00:50:00.745
<v Patti Silva>I can't mute.</v>

e8643036-4412-415e-8387-a8e17af552f2/7053-0
00:50:00.785 --> 00:50:01.225
<v Patti Silva>I can't.</v>

e8643036-4412-415e-8387-a8e17af552f2/7055-0
00:50:01.225 --> 00:50:03.305
<v Patti Silva>Whatever. So but OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/7062-0
00:50:05.105 --> 00:50:05.825
<v Patti Silva>That was great.</v>

e8643036-4412-415e-8387-a8e17af552f2/7071-0
00:50:06.025 --> 00:50:09.594
<v Patti Silva>Thank you Jordan for for
arranging that that that was so</v>

e8643036-4412-415e-8387-a8e17af552f2/7071-1
00:50:09.594 --> 00:50:10.345
<v Patti Silva>interesting.</v>

e8643036-4412-415e-8387-a8e17af552f2/7074-0
00:50:10.345 --> 00:50:12.825
<v Patti Silva>Of course, a billion and one
questions. But.</v>

e8643036-4412-415e-8387-a8e17af552f2/7081-0
00:50:14.545 --> 00:50:15.985
<v Patti Silva>Great, great presentation.</v>

e8643036-4412-415e-8387-a8e17af552f2/7083-0
00:50:16.535 --> 00:50:17.055
<v Scheff, Jordan A>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/7095-0
00:50:17.705 --> 00:50:20.865
<v Patti Silva>Next item on our agenda is the
Ombudsperson report.</v>

e8643036-4412-415e-8387-a8e17af552f2/7098-0
00:50:21.145 --> 00:50:22.865
<v Patti Silva>Shannon, you are up.</v>

e8643036-4412-415e-8387-a8e17af552f2/7117-0
00:50:24.145 --> 00:50:27.585
<v Jacovino, Shannon>Everyone, this is Shannon
Giacavino, DDS on budsperson.</v>

e8643036-4412-415e-8387-a8e17af552f2/7125-0
00:50:27.945 --> 00:50:31.265
<v Jacovino, Shannon>I did send out my written report
yesterday.</v>

e8643036-4412-415e-8387-a8e17af552f2/7136-0
00:50:31.665 --> 00:50:36.450
<v Jacovino, Shannon>I didn't receive any questions
from anybody or any particular</v>

e8643036-4412-415e-8387-a8e17af552f2/7136-1
00:50:36.450 --> 00:50:39.305
<v Jacovino, Shannon>issues. People wanted me to
address.</v>

e8643036-4412-415e-8387-a8e17af552f2/7145-0
00:50:40.865 --> 00:50:43.345
<v Jacovino, Shannon>I will say that it was a month.</v>

e8643036-4412-415e-8387-a8e17af552f2/7154-0
00:50:43.345 --> 00:50:46.355
<v Jacovino, Shannon>That was maybe somewhat less
busy than the past few months</v>

e8643036-4412-415e-8387-a8e17af552f2/7154-1
00:50:46.355 --> 00:50:46.865
<v Jacovino, Shannon>have been.</v>

e8643036-4412-415e-8387-a8e17af552f2/7165-0
00:50:48.585 --> 00:50:52.794
<v Jacovino, Shannon>I'm not quite sure why that is,
but you know somewhat fewer</v>

e8643036-4412-415e-8387-a8e17af552f2/7165-1
00:50:52.794 --> 00:50:53.425
<v Jacovino, Shannon>contacts.</v>

e8643036-4412-415e-8387-a8e17af552f2/7206-0
00:50:55.045 --> 00:50:58.990
<v Jacovino, Shannon>You know, I didn't notice any
particular trends this month</v>

e8643036-4412-415e-8387-a8e17af552f2/7206-1
00:50:58.990 --> 00:51:03.136
<v Jacovino, Shannon>except, you know, the one that
I've been talking to you about</v>

e8643036-4412-415e-8387-a8e17af552f2/7206-2
00:51:03.136 --> 00:51:07.415
<v Jacovino, Shannon>for the past three years, which
is that, you know, the staffing</v>

e8643036-4412-415e-8387-a8e17af552f2/7206-3
00:51:07.415 --> 00:51:11.026
<v Jacovino, Shannon>crisis is really having an
impact on just about every</v>

e8643036-4412-415e-8387-a8e17af552f2/7206-4
00:51:11.026 --> 00:51:13.165
<v Jacovino, Shannon>aspect of people's services and.</v>

e8643036-4412-415e-8387-a8e17af552f2/7214-0
00:51:13.165 --> 00:51:16.925
<v Jacovino, Shannon>Their lives and most of the
calls that I get.</v>

e8643036-4412-415e-8387-a8e17af552f2/7234-0
00:51:18.465 --> 00:51:21.861
<v Jacovino, Shannon>In some way sort of relate back
to the staffing crisis. So I</v>

e8643036-4412-415e-8387-a8e17af552f2/7234-1
00:51:21.861 --> 00:51:23.865
<v Jacovino, Shannon>didn't want to make everyone
aware.</v>

e8643036-4412-415e-8387-a8e17af552f2/7247-0
00:51:24.815 --> 00:51:30.055
<v Jacovino, Shannon>That, you know their public Act
23 Dash 137 was passed.</v>

e8643036-4412-415e-8387-a8e17af552f2/7288-0
00:51:31.625 --> 00:51:37.277
<v Jacovino, Shannon>In the 2023 legislative session,
and there are going to be a lot</v>

e8643036-4412-415e-8387-a8e17af552f2/7288-1
00:51:37.277 --> 00:51:42.321
<v Jacovino, Shannon>of the reports that were
included in that bill, including</v>

e8643036-4412-415e-8387-a8e17af552f2/7288-2
00:51:42.321 --> 00:51:47.712
<v Jacovino, Shannon>the report that addresses the
career pipeline are going to be</v>

e8643036-4412-415e-8387-a8e17af552f2/7288-3
00:51:47.712 --> 00:51:53.277
<v Jacovino, Shannon>coming due and are going to be
part of the discussion this year</v>

e8643036-4412-415e-8387-a8e17af552f2/7288-4
00:51:53.277 --> 00:51:53.625
<v Jacovino, Shannon>and.</v>

e8643036-4412-415e-8387-a8e17af552f2/7300-0
00:51:53.625 --> 00:51:56.345
<v Jacovino, Shannon>The legislature and I think it's
really important for.</v>

e8643036-4412-415e-8387-a8e17af552f2/7313-0
00:51:57.805 --> 00:52:00.921
<v Jacovino, Shannon>All of you and individuals and
families to make sure that</v>

e8643036-4412-415e-8387-a8e17af552f2/7313-1
00:52:00.921 --> 00:52:03.285
<v Jacovino, Shannon>you're a part of those
discussions because.</v>

e8643036-4412-415e-8387-a8e17af552f2/7338-0
00:52:05.025 --> 00:52:10.017
<v Jacovino, Shannon>I can't think of a more
important issue for people to be</v>

e8643036-4412-415e-8387-a8e17af552f2/7338-1
00:52:10.017 --> 00:52:15.359
<v Jacovino, Shannon>addressing. You know, I think
Josh talked a little bit about</v>

e8643036-4412-415e-8387-a8e17af552f2/7338-2
00:52:15.359 --> 00:52:16.585
<v Jacovino, Shannon>the fact that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7354-0
00:52:18.585 --> 00:52:23.770
<v Jacovino, Shannon>I am seeing an increase in the
calls that I'm getting around</v>

e8643036-4412-415e-8387-a8e17af552f2/7354-1
00:52:23.770 --> 00:52:26.745
<v Jacovino, Shannon>people who are in emergency
rooms.</v>

e8643036-4412-415e-8387-a8e17af552f2/7374-0
00:52:28.355 --> 00:52:32.344
<v Jacovino, Shannon>The hospitals are very anxious
to move people along. In many</v>

e8643036-4412-415e-8387-a8e17af552f2/7374-1
00:52:32.344 --> 00:52:35.875
<v Jacovino, Shannon>cases, there's really not any
place for people to go.</v>

e8643036-4412-415e-8387-a8e17af552f2/7381-0
00:52:36.035 --> 00:52:38.035
<v Jacovino, Shannon>They can't return back to their
home.</v>

e8643036-4412-415e-8387-a8e17af552f2/7414-0
00:52:38.315 --> 00:52:42.967
<v Jacovino, Shannon>They can't return back to the
program that they're in. I think</v>

e8643036-4412-415e-8387-a8e17af552f2/7414-1
00:52:42.967 --> 00:52:47.544
<v Jacovino, Shannon>DDS is doing what they can to
try to manage this, but I think</v>

e8643036-4412-415e-8387-a8e17af552f2/7414-2
00:52:47.544 --> 00:52:51.383
<v Jacovino, Shannon>with all of these issues, I
think DDS has been very</v>

e8643036-4412-415e-8387-a8e17af552f2/7414-3
00:52:51.383 --> 00:52:52.195
<v Jacovino, Shannon>responsive.</v>

e8643036-4412-415e-8387-a8e17af552f2/7423-0
00:52:52.275 --> 00:52:55.755
<v Jacovino, Shannon>But I don't think that these are
necessarily issues that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7427-0
00:52:56.585 --> 00:52:57.385
<v Jacovino, Shannon>Our DDS is to solve.</v>

e8643036-4412-415e-8387-a8e17af552f2/7429-0
00:52:57.895 --> 00:52:58.535
<v Jacovino, Shannon>Alone.</v>

e8643036-4412-415e-8387-a8e17af552f2/7472-0
00:53:00.465 --> 00:53:04.451
<v Jacovino, Shannon>So yeah, I would just encourage
you to all stay aware and to</v>

e8643036-4412-415e-8387-a8e17af552f2/7472-1
00:53:04.451 --> 00:53:08.633
<v Jacovino, Shannon>really be paying attention next
legislative session because all</v>

e8643036-4412-415e-8387-a8e17af552f2/7472-2
00:53:08.633 --> 00:53:12.881
<v Jacovino, Shannon>of these issues are going to be
discussed and you know it. It is</v>

e8643036-4412-415e-8387-a8e17af552f2/7472-3
00:53:12.881 --> 00:53:16.932
<v Jacovino, Shannon>just so critical for people in
our community to to be talking</v>

e8643036-4412-415e-8387-a8e17af552f2/7472-4
00:53:16.932 --> 00:53:17.585
<v Jacovino, Shannon>about how.</v>

e8643036-4412-415e-8387-a8e17af552f2/7476-0
00:53:17.585 --> 00:53:18.625
<v Jacovino, Shannon>This is impacting them.</v>

e8643036-4412-415e-8387-a8e17af552f2/7479-0
00:53:20.845 --> 00:53:22.325
<v Jacovino, Shannon>Does anybody have any? Oh,
Adrian.</v>

e8643036-4412-415e-8387-a8e17af552f2/7489-0
00:53:24.665 --> 00:53:27.025
<v aadriennebb@gmail.com>Hi, thank you. Adrian Benjamin,
Council member.</v>

e8643036-4412-415e-8387-a8e17af552f2/7527-0
00:53:28.825 --> 00:53:32.205
<v aadriennebb@gmail.com>I'm gonna give a little shout
out to the agency. My daughter's</v>

e8643036-4412-415e-8387-a8e17af552f2/7527-1
00:53:32.205 --> 00:53:35.531
<v aadriennebb@gmail.com>involved with it, just called
hark. And I'm not saying it's a</v>

e8643036-4412-415e-8387-a8e17af552f2/7527-2
00:53:35.531 --> 00:53:38.910
<v aadriennebb@gmail.com>perfect agency, but they made
the decision a few months ago to</v>

e8643036-4412-415e-8387-a8e17af552f2/7527-3
00:53:38.910 --> 00:53:42.129
<v aadriennebb@gmail.com>raise the wages, even though
that state that raised did not</v>

e8643036-4412-415e-8387-a8e17af552f2/7527-4
00:53:42.129 --> 00:53:42.665
<v aadriennebb@gmail.com>come from.</v>

e8643036-4412-415e-8387-a8e17af552f2/7551-0
00:53:42.665 --> 00:53:46.902
<v aadriennebb@gmail.com>The state so the wages are now
$19.00 an hour for people in</v>

e8643036-4412-415e-8387-a8e17af552f2/7551-1
00:53:46.902 --> 00:53:49.585
<v aadriennebb@gmail.com>Group homes in 1850 for day
programs.</v>

e8643036-4412-415e-8387-a8e17af552f2/7554-0
00:53:50.105 --> 00:53:53.065
<v aadriennebb@gmail.com>What has happened is that there.</v>

e8643036-4412-415e-8387-a8e17af552f2/7562-0
00:53:54.065 --> 00:53:57.105
<v aadriennebb@gmail.com>Their vacancy rate for staff
went from like 45%.</v>

e8643036-4412-415e-8387-a8e17af552f2/7577-0
00:53:57.965 --> 00:54:02.466
<v aadriennebb@gmail.com>8% they've hired so many people.
They also included increased</v>

e8643036-4412-415e-8387-a8e17af552f2/7577-1
00:54:02.466 --> 00:54:03.845
<v aadriennebb@gmail.com>something in their.</v>

e8643036-4412-415e-8387-a8e17af552f2/7600-0
00:54:05.385 --> 00:54:08.084
<v aadriennebb@gmail.com>I guess the health benefits, I
don't know exactly what the</v>

e8643036-4412-415e-8387-a8e17af552f2/7600-1
00:54:08.084 --> 00:54:10.829
<v aadriennebb@gmail.com>details of that, but you know I
remember hear people saying</v>

e8643036-4412-415e-8387-a8e17af552f2/7600-2
00:54:10.829 --> 00:54:13.756
<v aadriennebb@gmail.com>well, there's just people that
don't want to work in this field</v>

e8643036-4412-415e-8387-a8e17af552f2/7600-3
00:54:13.756 --> 00:54:14.945
<v aadriennebb@gmail.com>and obviously that's true.</v>

e8643036-4412-415e-8387-a8e17af552f2/7613-0
00:54:15.265 --> 00:54:19.003
<v aadriennebb@gmail.com>But raising wages helps and we
should get the word out to the</v>

e8643036-4412-415e-8387-a8e17af552f2/7613-1
00:54:19.003 --> 00:54:19.545
<v aadriennebb@gmail.com>agencies.</v>

e8643036-4412-415e-8387-a8e17af552f2/7617-0
00:54:19.545 --> 00:54:22.265
<v aadriennebb@gmail.com>We're involved with that. If
they can do that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7625-0
00:54:24.025 --> 00:54:25.825
<v aadriennebb@gmail.com>Or or work hard to figure out a
way to do that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7626-0
00:54:25.825 --> 00:54:26.345
<v aadriennebb@gmail.com>It might.</v>

e8643036-4412-415e-8387-a8e17af552f2/7630-0
00:54:26.345 --> 00:54:27.545
<v aadriennebb@gmail.com>It it will help.</v>

e8643036-4412-415e-8387-a8e17af552f2/7635-0
00:54:27.545 --> 00:54:28.945
<v aadriennebb@gmail.com>It's not, obviously.</v>

e8643036-4412-415e-8387-a8e17af552f2/7641-0
00:54:28.945 --> 00:54:31.065
<v aadriennebb@gmail.com>Is that a livable wage? Is in
Connecticut? Nope.</v>

e8643036-4412-415e-8387-a8e17af552f2/7664-0
00:54:31.855 --> 00:54:35.036
<v aadriennebb@gmail.com>Does that mean nobody else is
gonna, that they're not gonna</v>

e8643036-4412-415e-8387-a8e17af552f2/7664-1
00:54:35.036 --> 00:54:38.269
<v aadriennebb@gmail.com>have a second job or part time
job, but it's progress and it</v>

e8643036-4412-415e-8387-a8e17af552f2/7664-2
00:54:38.269 --> 00:54:40.495
<v aadriennebb@gmail.com>and it's really shown up in the
staffing.</v>

e8643036-4412-415e-8387-a8e17af552f2/7665-0
00:54:40.895 --> 00:54:43.175
<v aadriennebb@gmail.com>So that's my message.</v>

e8643036-4412-415e-8387-a8e17af552f2/7678-0
00:54:45.105 --> 00:54:49.865
<v Michael Beloff>Thanks Mike Bellaf Michael
Belloff, Council member, and</v>

e8643036-4412-415e-8387-a8e17af552f2/7678-1
00:54:49.865 --> 00:54:50.545
<v Michael Beloff>Shannon.</v>

e8643036-4412-415e-8387-a8e17af552f2/7684-0
00:54:50.545 --> 00:54:51.625
<v Michael Beloff>I just want to make sure.</v>

e8643036-4412-415e-8387-a8e17af552f2/7707-0
00:54:51.625 --> 00:54:55.805
<v Michael Beloff>Just a quick question about your
role. Sometimes when I get weird</v>

e8643036-4412-415e-8387-a8e17af552f2/7707-1
00:54:55.805 --> 00:54:59.289
<v Michael Beloff>questions, people will say
something. You know they're</v>

e8643036-4412-415e-8387-a8e17af552f2/7707-2
00:54:59.289 --> 00:55:02.265
<v Michael Beloff>having an issue or with applying
or appealing.</v>

e8643036-4412-415e-8387-a8e17af552f2/7713-0
00:55:02.625 --> 00:55:03.865
<v Michael Beloff>And I just send them to you.</v>

e8643036-4412-415e-8387-a8e17af552f2/7734-0
00:55:03.865 --> 00:55:06.883
<v Michael Beloff>I just wanna make sure that's
the proper. I don't that I'm</v>

e8643036-4412-415e-8387-a8e17af552f2/7715-0
00:55:04.505 --> 00:55:04.705
<v Jacovino, Shannon>Mm hmm.</v>

e8643036-4412-415e-8387-a8e17af552f2/7734-1
00:55:06.883 --> 00:55:09.901
<v Michael Beloff>overburdening you. When when
people have questions in that</v>

e8643036-4412-415e-8387-a8e17af552f2/7734-2
00:55:09.901 --> 00:55:10.105
<v Michael Beloff>way.</v>

e8643036-4412-415e-8387-a8e17af552f2/7740-0
00:55:13.145 --> 00:55:14.545
<v Michael Beloff>That was that was the first
question.</v>

e8643036-4412-415e-8387-a8e17af552f2/7759-0
00:55:14.545 --> 00:55:19.618
<v Michael Beloff>The other was and this may be
more for the end. I know one of</v>

e8643036-4412-415e-8387-a8e17af552f2/7759-1
00:55:19.618 --> 00:55:24.936
<v Michael Beloff>the big reports that being done
is, you know, doing the research</v>

e8643036-4412-415e-8387-a8e17af552f2/7759-2
00:55:24.936 --> 00:55:25.345
<v Michael Beloff>into.</v>

e8643036-4412-415e-8387-a8e17af552f2/7771-0
00:55:27.025 --> 00:55:30.859
<v Michael Beloff>Whether IQ should be part of
intellectual disability, and I</v>

e8643036-4412-415e-8387-a8e17af552f2/7771-1
00:55:30.859 --> 00:55:31.945
<v Michael Beloff>was wondering if.</v>

e8643036-4412-415e-8387-a8e17af552f2/7792-0
00:55:33.785 --> 00:55:36.469
<v Michael Beloff>If there's going to be a point
where we're going to get an</v>

e8643036-4412-415e-8387-a8e17af552f2/7792-1
00:55:36.469 --> 00:55:39.334
<v Michael Beloff>update on preliminary findings
or what might be in that report</v>

e8643036-4412-415e-8387-a8e17af552f2/7792-2
00:55:39.334 --> 00:55:40.425
<v Michael Beloff>or what that looks like.</v>

e8643036-4412-415e-8387-a8e17af552f2/7815-0
00:55:41.365 --> 00:55:44.733
<v Jacovino, Shannon>Sure. So this is Shanna
Giacovino, DDS and buds person.</v>

e8643036-4412-415e-8387-a8e17af552f2/7815-1
00:55:44.733 --> 00:55:48.461
<v Jacovino, Shannon>So for the first part of your
question, send people my way. I</v>

e8643036-4412-415e-8387-a8e17af552f2/7815-2
00:55:48.461 --> 00:55:50.325
<v Jacovino, Shannon>mean, that's what I'm here for.</v>

e8643036-4412-415e-8387-a8e17af552f2/7822-0
00:55:50.325 --> 00:55:53.965
<v Jacovino, Shannon>And if they're having a hard
time figuring something out.</v>

e8643036-4412-415e-8387-a8e17af552f2/7856-0
00:55:55.705 --> 00:55:59.285
<v Jacovino, Shannon>And they're coming to you. Then
the chances are that even if I</v>

e8643036-4412-415e-8387-a8e17af552f2/7856-1
00:55:59.285 --> 00:56:02.693
<v Jacovino, Shannon>don't know the answer, it's
going to be a lot easier for me</v>

e8643036-4412-415e-8387-a8e17af552f2/7856-2
00:56:02.693 --> 00:56:06.330
<v Jacovino, Shannon>to get that figured out for them
than it is if they continue to</v>

e8643036-4412-415e-8387-a8e17af552f2/7856-3
00:56:06.330 --> 00:56:08.545
<v Jacovino, Shannon>try to grapple with that on
their own.</v>

e8643036-4412-415e-8387-a8e17af552f2/7867-0
00:56:10.305 --> 00:56:14.024
<v Jacovino, Shannon>So absolutely, you're never
bothering me by sending people</v>

e8643036-4412-415e-8387-a8e17af552f2/7867-1
00:56:14.024 --> 00:56:14.465
<v Jacovino, Shannon>my way.</v>

e8643036-4412-415e-8387-a8e17af552f2/7872-0
00:56:15.275 --> 00:56:17.395
<v Jacovino, Shannon>You're helping me to earn my
pay.</v>

e8643036-4412-415e-8387-a8e17af552f2/7882-0
00:56:18.985 --> 00:56:22.305
<v Jacovino, Shannon>As far as the other question, I
know that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7892-0
00:56:23.985 --> 00:56:28.065
<v Jacovino, Shannon>Opm is responsible for the
report on the.</v>

e8643036-4412-415e-8387-a8e17af552f2/7900-0
00:56:30.425 --> 00:56:33.225
<v Jacovino, Shannon>Potentially changing the
definition.</v>

e8643036-4412-415e-8387-a8e17af552f2/7907-0
00:56:33.505 --> 00:56:36.505
<v Jacovino, Shannon>I know that they're working on
the report.</v>

e8643036-4412-415e-8387-a8e17af552f2/7909-0
00:56:36.545 --> 00:56:37.705
<v Jacovino, Shannon>I was a part of.</v>

e8643036-4412-415e-8387-a8e17af552f2/7931-0
00:56:39.425 --> 00:56:43.600
<v Jacovino, Shannon>A work group that reviewed they
had they hired a consultant to</v>

e8643036-4412-415e-8387-a8e17af552f2/7931-1
00:56:43.600 --> 00:56:47.641
<v Jacovino, Shannon>come in and sort of do a review
of what's happening in other</v>

e8643036-4412-415e-8387-a8e17af552f2/7931-2
00:56:47.641 --> 00:56:48.105
<v Jacovino, Shannon>states.</v>

e8643036-4412-415e-8387-a8e17af552f2/7945-0
00:56:48.625 --> 00:56:53.442
<v Jacovino, Shannon>And you know, just sort of try
to outline all of the options</v>

e8643036-4412-415e-8387-a8e17af552f2/7945-1
00:56:53.442 --> 00:56:54.705
<v Jacovino, Shannon>for Connecticut.</v>

e8643036-4412-415e-8387-a8e17af552f2/7952-0
00:56:55.425 --> 00:56:58.449
<v Jacovino, Shannon>I don't know when that report
will be released, but I know</v>

e8643036-4412-415e-8387-a8e17af552f2/7952-1
00:56:58.449 --> 00:56:58.705
<v Jacovino, Shannon>that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7955-0
00:57:00.265 --> 00:57:01.105
<v Jacovino, Shannon>It should be.</v>

e8643036-4412-415e-8387-a8e17af552f2/7962-0
00:57:02.865 --> 00:57:04.185
<v Jacovino, Shannon>Soon, I think.</v>

e8643036-4412-415e-8387-a8e17af552f2/7971-0
00:57:04.845 --> 00:57:07.490
<v Jacovino, Shannon>I think the due date has come
and gone, but there was an</v>

e8643036-4412-415e-8387-a8e17af552f2/7971-1
00:57:07.490 --> 00:57:08.325
<v Jacovino, Shannon>extension on that.</v>

e8643036-4412-415e-8387-a8e17af552f2/7985-0
00:57:10.805 --> 00:57:13.483
<v Jacovino, Shannon>When it will be made public or
how it will be made public, I</v>

e8643036-4412-415e-8387-a8e17af552f2/7985-1
00:57:13.483 --> 00:57:13.965
<v Jacovino, Shannon>don't know.</v>

e8643036-4412-415e-8387-a8e17af552f2/8009-0
00:57:14.325 --> 00:57:17.724
<v Jacovino, Shannon>But I I'm I'm guessing you'll
be. You'll be Privy to that</v>

e8643036-4412-415e-8387-a8e17af552f2/8009-1
00:57:17.724 --> 00:57:21.592
<v Jacovino, Shannon>information as soon as it's able
to be made public, because a lot</v>

e8643036-4412-415e-8387-a8e17af552f2/8009-2
00:57:21.592 --> 00:57:24.405
<v Jacovino, Shannon>of people are waiting to hear
that information.</v>

e8643036-4412-415e-8387-a8e17af552f2/8024-0
00:57:25.555 --> 00:57:29.153
<v Michael Beloff>I I think originally the report
was due in January, so I know</v>

e8643036-4412-415e-8387-a8e17af552f2/8024-1
00:57:29.153 --> 00:57:29.675
<v Michael Beloff>it's not.</v>

e8643036-4412-415e-8387-a8e17af552f2/8030-0
00:57:29.675 --> 00:57:31.555
<v Michael Beloff>I don't think it's due yet for
that particular item.</v>

e8643036-4412-415e-8387-a8e17af552f2/8032-0
00:57:33.225 --> 00:57:33.665
<v Michael Beloff>But.</v>

e8643036-4412-415e-8387-a8e17af552f2/8065-0
00:57:35.345 --> 00:57:39.436
<v Michael Beloff>You know, of course my my
concern is that they always is.</v>

e8643036-4412-415e-8387-a8e17af552f2/8065-1
00:57:39.436 --> 00:57:43.950
<v Michael Beloff>If if the definition has changed
and more money is not given to</v>

e8643036-4412-415e-8387-a8e17af552f2/8065-2
00:57:43.950 --> 00:57:47.265
<v Michael Beloff>DDS, you know that can cause
problems as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/8070-0
00:57:48.675 --> 00:57:49.715
<v Jacovino, Shannon>Right. Well, I don't.</v>

e8643036-4412-415e-8387-a8e17af552f2/8108-0
00:57:49.835 --> 00:57:54.782
<v Jacovino, Shannon>I mean I I guess I would say
that changing the definition, we</v>

e8643036-4412-415e-8387-a8e17af552f2/8108-1
00:57:54.782 --> 00:57:59.410
<v Jacovino, Shannon>don't know what the impact of
that would be on DDS or you</v>

e8643036-4412-415e-8387-a8e17af552f2/8108-2
00:57:59.410 --> 00:58:03.878
<v Jacovino, Shannon>know, where services like
there's there's a lot more to</v>

e8643036-4412-415e-8387-a8e17af552f2/8108-3
00:58:03.878 --> 00:58:04.755
<v Jacovino, Shannon>that issue.</v>

e8643036-4412-415e-8387-a8e17af552f2/8116-0
00:58:06.305 --> 00:58:06.865
<v Jacovino, Shannon>Than just money.</v>

e8643036-4412-415e-8387-a8e17af552f2/8153-0
00:58:07.425 --> 00:58:10.727
<v Jacovino, Shannon>And so I think that when the
report is released, I'm sure</v>

e8643036-4412-415e-8387-a8e17af552f2/8153-1
00:58:10.727 --> 00:58:13.915
<v Jacovino, Shannon>that there's going to be
discussions about that and the</v>

e8643036-4412-415e-8387-a8e17af552f2/8153-2
00:58:13.915 --> 00:58:17.444
<v Jacovino, Shannon>legislature and those are the
areas where I think it's really</v>

e8643036-4412-415e-8387-a8e17af552f2/8153-3
00:58:17.444 --> 00:58:20.745
<v Jacovino, Shannon>important for people to be
taking to be paying attention.</v>

e8643036-4412-415e-8387-a8e17af552f2/8164-0
00:58:21.595 --> 00:58:25.315
<v Jacovino, Shannon>And to be taking advantage of
the opportunity to provide your</v>

e8643036-4412-415e-8387-a8e17af552f2/8164-1
00:58:25.315 --> 00:58:25.915
<v Jacovino, Shannon>own input.</v>

e8643036-4412-415e-8387-a8e17af552f2/8167-0
00:58:27.465 --> 00:58:28.345
<v Jacovino, Shannon>On those issues.</v>

e8643036-4412-415e-8387-a8e17af552f2/8188-0
00:58:29.985 --> 00:58:33.960
<v Jacovino, Shannon>So I think you'll have those
opportunities Kevin Bronson</v>

e8643036-4412-415e-8387-a8e17af552f2/8188-1
00:58:33.960 --> 00:58:37.865
<v Jacovino, Shannon>saying the due date is January
1st, 2025. My apologies.</v>

e8643036-4412-415e-8387-a8e17af552f2/8192-0
00:58:37.865 --> 00:58:40.145
<v Jacovino, Shannon>I thought they asked for an
extension on that one.</v>

e8643036-4412-415e-8387-a8e17af552f2/8199-0
00:58:44.745 --> 00:58:45.905
<v Patti Silva>Maddie Silva, Council chair.</v>

e8643036-4412-415e-8387-a8e17af552f2/8204-0
00:58:45.905 --> 00:58:48.145
<v Patti Silva>Does anyone have any other
questions for Shannon?</v>

e8643036-4412-415e-8387-a8e17af552f2/8210-0
00:58:50.125 --> 00:58:50.565
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/8214-0
00:58:50.565 --> 00:58:52.245
<v Patti Silva>We'll move along. Thank you,
Shannon.</v>

e8643036-4412-415e-8387-a8e17af552f2/8216-0
00:58:52.745 --> 00:58:53.145
<v Jacovino, Shannon>No problem.</v>

e8643036-4412-415e-8387-a8e17af552f2/8222-0
00:58:53.825 --> 00:58:55.905
<v Patti Silva>Next up is Commissioner.</v>

e8643036-4412-415e-8387-a8e17af552f2/8259-0
00:58:57.655 --> 00:59:01.661
<v Scheff, Jordan A>Jordan chef, Commissioner, DDS,
our friends from Pulse light</v>

e8643036-4412-415e-8387-a8e17af552f2/8259-1
00:59:01.661 --> 00:59:05.667
<v Scheff, Jordan A>aura looking always to learn
more about what they can learn,</v>

e8643036-4412-415e-8387-a8e17af552f2/8259-2
00:59:05.667 --> 00:59:09.542
<v Scheff, Jordan A>have asked if they could stay on
and of course as a public</v>

e8643036-4412-415e-8387-a8e17af552f2/8259-3
00:59:09.542 --> 00:59:13.811
<v Scheff, Jordan A>meeting I welcome them and as as
valued partners, I welcome them</v>

e8643036-4412-415e-8387-a8e17af552f2/8259-4
00:59:13.811 --> 00:59:15.255
<v Scheff, Jordan A>as well they can gain.</v>

e8643036-4412-415e-8387-a8e17af552f2/8268-0
00:59:15.255 --> 00:59:17.975
<v Scheff, Jordan A>Some insight, so thank you for
sticking around both of you.</v>

e8643036-4412-415e-8387-a8e17af552f2/8290-0
00:59:19.545 --> 00:59:22.689
<v Scheff, Jordan A>One of the things I wanted to
make sure the pulse light</v>

e8643036-4412-415e-8387-a8e17af552f2/8290-1
00:59:22.689 --> 00:59:26.283
<v Scheff, Jordan A>presentation that was clear that
the the the Slicer dicer which</v>

e8643036-4412-415e-8387-a8e17af552f2/8290-2
00:59:26.283 --> 00:59:28.865
<v Scheff, Jordan A>is hard to visualize in the
blurred image is.</v>

e8643036-4412-415e-8387-a8e17af552f2/8312-0
00:59:29.395 --> 00:59:31.875
<v Scheff, Jordan A>Because we weren't able to de
identify it in a way that would</v>

e8643036-4412-415e-8387-a8e17af552f2/8312-1
00:59:31.875 --> 00:59:34.435
<v Scheff, Jordan A>make it shareable, and it's also
proprietary to pulse light and</v>

e8643036-4412-415e-8387-a8e17af552f2/8312-2
00:59:34.435 --> 00:59:35.515
<v Scheff, Jordan A>the public facing meetings.</v>

e8643036-4412-415e-8387-a8e17af552f2/8317-0
00:59:35.515 --> 00:59:37.275
<v Scheff, Jordan A>So there's a number of reasons.</v>

e8643036-4412-415e-8387-a8e17af552f2/8332-0
00:59:37.275 --> 00:59:42.045
<v Scheff, Jordan A>That's obscured that way, but
that we can look at trends by</v>

e8643036-4412-415e-8387-a8e17af552f2/8332-1
00:59:42.045 --> 00:59:43.635
<v Scheff, Jordan A>person, by location.</v>

e8643036-4412-415e-8387-a8e17af552f2/8338-0
00:59:44.035 --> 00:59:46.915
<v Scheff, Jordan A>You know, a single group home by
an agency.</v>

e8643036-4412-415e-8387-a8e17af552f2/8343-0
00:59:46.915 --> 00:59:48.435
<v Scheff, Jordan A>We can also do it by ZIP code.</v>

e8643036-4412-415e-8387-a8e17af552f2/8381-0
00:59:49.985 --> 00:59:52.872
<v Scheff, Jordan A>And there's a number of things.
And, you know, we looked at some</v>

e8643036-4412-415e-8387-a8e17af552f2/8381-1
00:59:52.872 --> 00:59:55.492
<v Scheff, Jordan A>of the most recent data and I
looked at claims and I could</v>

e8643036-4412-415e-8387-a8e17af552f2/8381-2
00:59:55.492 --> 00:59:57.979
<v Scheff, Jordan A>drill down on a person who I
used to support in private</v>

e8643036-4412-415e-8387-a8e17af552f2/8381-3
00:59:57.979 --> 01:00:00.465
<v Scheff, Jordan A>sector, and I could see a
history that was just so Val.</v>

e8643036-4412-415e-8387-a8e17af552f2/8383-0
01:00:00.905 --> 01:00:01.225
<v Scheff, Jordan A>To see.</v>

e8643036-4412-415e-8387-a8e17af552f2/8412-0
01:00:02.085 --> 01:00:05.513
<v Scheff, Jordan A>Her progression as she aged and
why certain resources were</v>

e8643036-4412-415e-8387-a8e17af552f2/8412-1
01:00:05.513 --> 01:00:09.114
<v Scheff, Jordan A>needed and you know I could I I
could see a lot just from the</v>

e8643036-4412-415e-8387-a8e17af552f2/8412-2
01:00:09.114 --> 01:00:12.425
<v Scheff, Jordan A>claims data in getting to
understand a little bit better</v>

e8643036-4412-415e-8387-a8e17af552f2/8412-3
01:00:12.425 --> 01:00:13.645
<v Scheff, Jordan A>about where she's at.</v>

e8643036-4412-415e-8387-a8e17af552f2/8437-0
01:00:15.185 --> 01:00:18.450
<v Scheff, Jordan A>That's incredibly valuable to
our our, my my boots on the</v>

e8643036-4412-415e-8387-a8e17af552f2/8437-1
01:00:18.450 --> 01:00:21.265
<v Scheff, Jordan A>ground staff who are trying to
balance resources.</v>

e8643036-4412-415e-8387-a8e17af552f2/8461-0
01:00:21.265 --> 01:00:25.083
<v Scheff, Jordan A>There's also another point we
didn't highlight much, but I</v>

e8643036-4412-415e-8387-a8e17af552f2/8461-1
01:00:25.083 --> 01:00:28.966
<v Scheff, Jordan A>think is important to note in
what was shared is there's we</v>

e8643036-4412-415e-8387-a8e17af552f2/8461-2
01:00:28.966 --> 01:00:33.172
<v Scheff, Jordan A>can make we, we've always looked
at how we fund individuals in a</v>

e8643036-4412-415e-8387-a8e17af552f2/8461-3
01:00:33.172 --> 01:00:33.625
<v Scheff, Jordan A>vacuum.</v>

e8643036-4412-415e-8387-a8e17af552f2/8464-0
01:00:33.985 --> 01:00:35.105
<v Scheff, Jordan A>What does DDS funding?</v>

e8643036-4412-415e-8387-a8e17af552f2/8480-0
01:00:36.705 --> 01:00:39.896
<v Scheff, Jordan A>This allows us to see total
Medicaid spend on an individual</v>

e8643036-4412-415e-8387-a8e17af552f2/8480-1
01:00:39.896 --> 01:00:41.225
<v Scheff, Jordan A>across multiple settings.</v>

e8643036-4412-415e-8387-a8e17af552f2/8512-0
01:00:41.225 --> 01:00:45.114
<v Scheff, Jordan A>So if you have someone who has
in home supports you know less</v>

e8643036-4412-415e-8387-a8e17af552f2/8512-1
01:00:45.114 --> 01:00:48.814
<v Scheff, Jordan A>than 24 hour supports and
attends a day program, there's a</v>

e8643036-4412-415e-8387-a8e17af552f2/8512-2
01:00:48.814 --> 01:00:51.385
<v Scheff, Jordan A>lot you you you may not know
about them.</v>

e8643036-4412-415e-8387-a8e17af552f2/8520-0
01:00:51.385 --> 01:00:54.417
<v Scheff, Jordan A>And we make decisions on what we
agree to fund based on just</v>

e8643036-4412-415e-8387-a8e17af552f2/8520-1
01:00:54.417 --> 01:00:54.665
<v Scheff, Jordan A>that.</v>

e8643036-4412-415e-8387-a8e17af552f2/8542-0
01:00:55.065 --> 01:00:57.465
<v Scheff, Jordan A>But now that we can see medical
history and other events in</v>

e8643036-4412-415e-8387-a8e17af552f2/8542-1
01:00:57.465 --> 01:00:59.625
<v Scheff, Jordan A>their lives through Medicaid
claiming we get a better</v>

e8643036-4412-415e-8387-a8e17af552f2/8542-2
01:00:59.625 --> 01:00:59.945
<v Scheff, Jordan A>picture.</v>

e8643036-4412-415e-8387-a8e17af552f2/8551-0
01:00:59.945 --> 01:01:03.357
<v Scheff, Jordan A>And sometimes I think our
partnership with DSS on this is</v>

e8643036-4412-415e-8387-a8e17af552f2/8551-1
01:01:03.357 --> 01:01:03.945
<v Scheff, Jordan A>important.</v>

e8643036-4412-415e-8387-a8e17af552f2/8579-0
01:01:05.015 --> 01:01:08.193
<v Scheff, Jordan A>Because one of us is going to
pay one way or the other for a</v>

e8643036-4412-415e-8387-a8e17af552f2/8579-1
01:01:08.193 --> 01:01:11.005
<v Scheff, Jordan A>persons needs, and we were
making those decisions not</v>

e8643036-4412-415e-8387-a8e17af552f2/8579-2
01:01:11.005 --> 01:01:13.922
<v Scheff, Jordan A>knowing what the rest of
Medicaid may be spending on an</v>

e8643036-4412-415e-8387-a8e17af552f2/8579-3
01:01:13.922 --> 01:01:14.495
<v Scheff, Jordan A>individual.</v>

e8643036-4412-415e-8387-a8e17af552f2/8611-0
01:01:14.495 --> 01:01:17.474
<v Scheff, Jordan A>And now we can really look at it
holistically and ensure that</v>

e8643036-4412-415e-8387-a8e17af552f2/8611-1
01:01:17.474 --> 01:01:20.596
<v Scheff, Jordan A>we're not being Pennywise and #
foolish when we can pull members</v>

e8643036-4412-415e-8387-a8e17af552f2/8611-2
01:01:20.596 --> 01:01:23.334
<v Scheff, Jordan A>from those other agencies
together to, say, listen, this</v>

e8643036-4412-415e-8387-a8e17af552f2/8611-3
01:01:23.334 --> 01:01:24.535
<v Scheff, Jordan A>person has an unmet need.</v>

e8643036-4412-415e-8387-a8e17af552f2/8616-0
01:01:24.535 --> 01:01:25.935
<v Scheff, Jordan A>What's the best way to go about
it?</v>

e8643036-4412-415e-8387-a8e17af552f2/8620-0
01:01:25.935 --> 01:01:26.815
<v Scheff, Jordan A>You spending the money?</v>

e8643036-4412-415e-8387-a8e17af552f2/8622-0
01:01:26.815 --> 01:01:27.655
<v Scheff, Jordan A>Us spending the money.</v>

e8643036-4412-415e-8387-a8e17af552f2/8630-0
01:01:29.225 --> 01:01:32.625
<v Scheff, Jordan A>It it it really does, I think
benefit outcomes for</v>

e8643036-4412-415e-8387-a8e17af552f2/8630-1
01:01:32.625 --> 01:01:33.425
<v Scheff, Jordan A>individuals.</v>

e8643036-4412-415e-8387-a8e17af552f2/8656-0
01:01:34.795 --> 01:01:38.458
<v Scheff, Jordan A>But like Josh, I spend hours
talking about pulse light and</v>

e8643036-4412-415e-8387-a8e17af552f2/8656-1
01:01:38.458 --> 01:01:41.997
<v Scheff, Jordan A>can spend hours more just
'cause. It's probably the most</v>

e8643036-4412-415e-8387-a8e17af552f2/8656-2
01:01:41.997 --> 01:01:44.915
<v Scheff, Jordan A>innovative tool for what we do
I've ever seen.</v>

e8643036-4412-415e-8387-a8e17af552f2/8671-0
01:01:45.635 --> 01:01:48.986
<v Scheff, Jordan A>So I'm gonna shift a little bit
to a tool that right now isn't</v>

e8643036-4412-415e-8387-a8e17af552f2/8671-1
01:01:48.986 --> 01:01:50.475
<v Scheff, Jordan A>working for a lot of people.</v>

e8643036-4412-415e-8387-a8e17af552f2/8686-0
01:01:50.475 --> 01:01:54.257
<v Scheff, Jordan A>Talk a little bit about how I
spent my time this month. Many</v>

e8643036-4412-415e-8387-a8e17af552f2/8686-1
01:01:54.257 --> 01:01:57.977
<v Scheff, Jordan A>of you, particularly those of
you who spend time with other</v>

e8643036-4412-415e-8387-a8e17af552f2/8686-2
01:01:57.977 --> 01:01:59.155
<v Scheff, Jordan A>parents, providers.</v>

e8643036-4412-415e-8387-a8e17af552f2/8698-0
01:01:59.945 --> 01:02:02.729
<v Scheff, Jordan A>And others are aware of the
ongoing issues we are having</v>

e8643036-4412-415e-8387-a8e17af552f2/8698-1
01:02:02.729 --> 01:02:04.145
<v Scheff, Jordan A>with our fiscal intermediary.</v>

e8643036-4412-415e-8387-a8e17af552f2/8705-0
01:02:05.865 --> 01:02:07.585
<v Scheff, Jordan A>We continue to pound through.</v>

e8643036-4412-415e-8387-a8e17af552f2/8711-0
01:02:07.745 --> 01:02:09.265
<v Scheff, Jordan A>It affects providers too.</v>

e8643036-4412-415e-8387-a8e17af552f2/8725-0
01:02:10.265 --> 01:02:14.961
<v Scheff, Jordan A>We continue to work through
those issues in close concert</v>

e8643036-4412-415e-8387-a8e17af552f2/8725-1
01:02:14.961 --> 01:02:16.985
<v Scheff, Jordan A>with our partners at DSS.</v>

e8643036-4412-415e-8387-a8e17af552f2/8763-0
01:02:19.345 --> 01:02:23.270
<v Scheff, Jordan A>And done a couple things to try
and make those outcomes better,</v>

e8643036-4412-415e-8387-a8e17af552f2/8763-1
01:02:23.270 --> 01:02:26.949
<v Scheff, Jordan A>including investing in a key
staff person to coordinate for</v>

e8643036-4412-415e-8387-a8e17af552f2/8763-2
01:02:26.949 --> 01:02:30.813
<v Scheff, Jordan A>us at a statewide level for DDS,
Joe Carvalho has come back to</v>

e8643036-4412-415e-8387-a8e17af552f2/8763-3
01:02:30.813 --> 01:02:34.676
<v Scheff, Jordan A>DDS specifically right now as a
senior consultant to my office</v>

e8643036-4412-415e-8387-a8e17af552f2/8763-4
01:02:34.676 --> 01:02:36.025
<v Scheff, Jordan A>senior policy advisor.</v>

e8643036-4412-415e-8387-a8e17af552f2/8778-0
01:02:38.155 --> 01:02:43.192
<v Scheff, Jordan A>Spending most of his time right
now on Pulse on GTI related</v>

e8643036-4412-415e-8387-a8e17af552f2/8778-1
01:02:43.192 --> 01:02:44.955
<v Scheff, Jordan A>issues or escalation.</v>

e8643036-4412-415e-8387-a8e17af552f2/8820-0
01:02:44.955 --> 01:02:48.357
<v Scheff, Jordan A>Daily contact with the vendor.
We've also brought in</v>

e8643036-4412-415e-8387-a8e17af552f2/8820-1
01:02:48.357 --> 01:02:52.401
<v Scheff, Jordan A>consultancy through Deloitte to
assist with trying to mitigate</v>

e8643036-4412-415e-8387-a8e17af552f2/8820-2
01:02:52.401 --> 01:02:56.509
<v Scheff, Jordan A>some of the the negatives that
families are encountering. While</v>

e8643036-4412-415e-8387-a8e17af552f2/8820-3
01:02:56.509 --> 01:03:00.617
<v Scheff, Jordan A>I say that there's a number of
people who are thrilled with the</v>

e8643036-4412-415e-8387-a8e17af552f2/8820-4
01:03:00.617 --> 01:03:03.505
<v Scheff, Jordan A>product and the way it works,
but there are.</v>

e8643036-4412-415e-8387-a8e17af552f2/8826-0
01:03:03.505 --> 01:03:05.195
<v Scheff, Jordan A>Enough people who are unhappy
that it's getting.</v>

e8643036-4412-415e-8387-a8e17af552f2/8831-0
01:03:05.985 --> 01:03:07.065
<v Scheff, Jordan A>Its due attention. I don't it's.</v>

e8643036-4412-415e-8387-a8e17af552f2/8834-0
01:03:08.325 --> 01:03:08.885
<v Scheff, Jordan A>I don't.</v>

e8643036-4412-415e-8387-a8e17af552f2/8839-0
01:03:08.885 --> 01:03:09.045
<v Scheff, Jordan A>I don't.</v>

e8643036-4412-415e-8387-a8e17af552f2/8842-0
01:03:09.045 --> 01:03:10.925
<v Scheff, Jordan A>It's sensationalized in anyway.</v>

e8643036-4412-415e-8387-a8e17af552f2/8851-0
01:03:11.325 --> 01:03:13.754
<v Scheff, Jordan A>I think there are true issues,
but we continue to work on</v>

e8643036-4412-415e-8387-a8e17af552f2/8851-1
01:03:13.754 --> 01:03:14.005
<v Scheff, Jordan A>those.</v>

e8643036-4412-415e-8387-a8e17af552f2/8856-0
01:03:14.005 --> 01:03:17.125
<v Scheff, Jordan A>So I spent a lot of last month
focused on that.</v>

e8643036-4412-415e-8387-a8e17af552f2/8892-0
01:03:18.665 --> 01:03:22.731
<v Scheff, Jordan A>We are in close concert with the
governor's office in OPM as we</v>

e8643036-4412-415e-8387-a8e17af552f2/8892-1
01:03:22.731 --> 01:03:26.734
<v Scheff, Jordan A>are formulating the budget that
will drop when the governor is</v>

e8643036-4412-415e-8387-a8e17af552f2/8892-2
01:03:26.734 --> 01:03:30.545
<v Scheff, Jordan A>ready to share it. And with
that, any policy initiatives he</v>

e8643036-4412-415e-8387-a8e17af552f2/8892-3
01:03:30.545 --> 01:03:31.625
<v Scheff, Jordan A>plans to include.</v>

e8643036-4412-415e-8387-a8e17af552f2/8898-0
01:03:32.025 --> 01:03:35.028
<v Scheff, Jordan A>But we don't have anything to
share on that yet because it's</v>

e8643036-4412-415e-8387-a8e17af552f2/8898-1
01:03:35.028 --> 01:03:35.225
<v Scheff, Jordan A>all.</v>

e8643036-4412-415e-8387-a8e17af552f2/8912-0
01:03:36.905 --> 01:03:39.553
<v Scheff, Jordan A>It is a publicly yet known
information and that's, you</v>

e8643036-4412-415e-8387-a8e17af552f2/8912-1
01:03:39.553 --> 01:03:42.345
<v Scheff, Jordan A>know, when the governor's ready,
the governor will share.</v>

e8643036-4412-415e-8387-a8e17af552f2/8920-0
01:03:43.025 --> 01:03:46.865
<v Scheff, Jordan A>As we get ready to head into
session in January.</v>

e8643036-4412-415e-8387-a8e17af552f2/8930-0
01:03:48.705 --> 01:03:51.545
<v Scheff, Jordan A>That has been where I've spent a
fair amount of my time. I also.</v>

e8643036-4412-415e-8387-a8e17af552f2/8948-0
01:03:53.225 --> 01:03:56.710
<v Scheff, Jordan A>Have had the honor and privilege
of visiting a number of</v>

e8643036-4412-415e-8387-a8e17af552f2/8948-1
01:03:56.710 --> 01:04:00.624
<v Scheff, Jordan A>locations over the last four or
five weeks, six weeks, 7 weeks.</v>

e8643036-4412-415e-8387-a8e17af552f2/8948-2
01:04:00.624 --> 01:04:01.785
<v Scheff, Jordan A>It blends together.</v>

e8643036-4412-415e-8387-a8e17af552f2/8954-0
01:04:03.785 --> 01:04:05.705
<v Scheff, Jordan A>And for staff recognition.</v>

e8643036-4412-415e-8387-a8e17af552f2/8967-0
01:04:07.385 --> 01:04:11.612
<v Scheff, Jordan A>DSP direct support, professional
appreciation in our public</v>

e8643036-4412-415e-8387-a8e17af552f2/8967-1
01:04:11.612 --> 01:04:12.105
<v Scheff, Jordan A>sector.</v>

e8643036-4412-415e-8387-a8e17af552f2/8985-0
01:04:12.395 --> 01:04:16.179
<v Scheff, Jordan A>I know there were a lot of
events in the private sector as</v>

e8643036-4412-415e-8387-a8e17af552f2/8985-1
01:04:16.179 --> 01:04:19.835
<v Scheff, Jordan A>well, and today I was at our S
region staff recognition.</v>

e8643036-4412-415e-8387-a8e17af552f2/9011-0
01:04:21.385 --> 01:04:24.962
<v Scheff, Jordan A>Event which we held down at
Harkness. Rare that we get</v>

e8643036-4412-415e-8387-a8e17af552f2/9011-1
01:04:24.962 --> 01:04:28.799
<v Scheff, Jordan A>together, everyone or most
everyone in person to celebrate</v>

e8643036-4412-415e-8387-a8e17af552f2/9011-2
01:04:28.799 --> 01:04:31.985
<v Scheff, Jordan A>accomplishments, to commiserate
over challenges.</v>

e8643036-4412-415e-8387-a8e17af552f2/9033-0
01:04:32.505 --> 01:04:35.302
<v Scheff, Jordan A>And they were able to do that
and I was able to visit with</v>

e8643036-4412-415e-8387-a8e17af552f2/9033-1
01:04:35.302 --> 01:04:37.910
<v Scheff, Jordan A>them for a bit and got to visit
with the Self Advocate</v>

e8643036-4412-415e-8387-a8e17af552f2/9033-2
01:04:37.910 --> 01:04:38.905
<v Scheff, Jordan A>coordinators as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/9043-0
01:04:40.785 --> 01:04:44.825
<v Scheff, Jordan A>And a couple of them who I have
not seen in some time.</v>

e8643036-4412-415e-8387-a8e17af552f2/9066-0
01:04:46.215 --> 01:04:50.194
<v Scheff, Jordan A>So that is how I spent most of
the last month, and I'm gonna</v>

e8643036-4412-415e-8387-a8e17af552f2/9066-1
01:04:50.194 --> 01:04:53.455
<v Scheff, Jordan A>cut myself short there and open
it for questions.</v>

e8643036-4412-415e-8387-a8e17af552f2/9069-0
01:04:53.455 --> 01:04:54.975
<v Scheff, Jordan A>And I see Kevin's hand just up.</v>

e8643036-4412-415e-8387-a8e17af552f2/9081-0
01:04:56.365 --> 01:04:59.245
<v Bronson, Kevin>Yeah. Thanks, Commissioner.
Kevin Bronson.</v>

e8643036-4412-415e-8387-a8e17af552f2/9124-0
01:04:59.245 --> 01:05:03.647
<v Bronson, Kevin>Dds, the one thing I just wanted
to add to the group was that for</v>

e8643036-4412-415e-8387-a8e17af552f2/9124-1
01:05:03.647 --> 01:05:07.649
<v Bronson, Kevin>the guardians and individuals on
this call, you should have</v>

e8643036-4412-415e-8387-a8e17af552f2/9124-2
01:05:07.649 --> 01:05:11.583
<v Bronson, Kevin>received in snail mail a flyer
to the upcoming stakeholder</v>

e8643036-4412-415e-8387-a8e17af552f2/9124-3
01:05:11.583 --> 01:05:15.518
<v Bronson, Kevin>forums, which are going to be
happening next week. And I'm</v>

e8643036-4412-415e-8387-a8e17af552f2/9124-4
01:05:15.518 --> 01:05:16.585
<v Bronson, Kevin>happy to drop a.</v>

e8643036-4412-415e-8387-a8e17af552f2/9133-0
01:05:16.585 --> 01:05:19.605
<v Bronson, Kevin>Link in the chat. So just just
want to add that in.</v>

e8643036-4412-415e-8387-a8e17af552f2/9149-0
01:05:24.375 --> 01:05:27.768
<v Scheff, Jordan A>So I'll come up for air there
and and and pause see if there</v>

e8643036-4412-415e-8387-a8e17af552f2/9149-1
01:05:27.768 --> 01:05:30.215
<v Scheff, Jordan A>are any questions that you may
have for me.</v>

e8643036-4412-415e-8387-a8e17af552f2/9158-0
01:05:31.745 --> 01:05:33.705
<v Scheff, Jordan A>Before we move on to anything
else in the agenda.</v>

e8643036-4412-415e-8387-a8e17af552f2/9173-0
01:05:39.285 --> 01:05:41.362
<v Scheff, Jordan A>So, Josh, where are you out
'cause. Usually you got all</v>

e8643036-4412-415e-8387-a8e17af552f2/9173-1
01:05:41.362 --> 01:05:43.365
<v Scheff, Jordan A>sorts of questions for me, but
maybe he wore you out.</v>

e8643036-4412-415e-8387-a8e17af552f2/9177-0
01:05:45.105 --> 01:05:46.665
<v Scheff, Jordan A>If that's the case, I'm gonna
bring them every month.</v>

e8643036-4412-415e-8387-a8e17af552f2/9179-0
01:05:51.255 --> 01:05:51.295
<v Scheff, Jordan A>I.</v>

e8643036-4412-415e-8387-a8e17af552f2/9186-0
01:05:51.295 --> 01:05:52.415
<v Scheff, Jordan A>Don't hear any other questions.</v>

e8643036-4412-415e-8387-a8e17af552f2/9194-0
01:05:52.415 --> 01:05:55.215
<v Scheff, Jordan A>Patty Jordan, chef Commissioner,
I'll yield back to you.</v>

e8643036-4412-415e-8387-a8e17af552f2/9207-0
01:05:55.915 --> 01:06:00.715
<v Patti Silva>Alright, Adiosa council chair.
Next on our agenda.</v>

e8643036-4412-415e-8387-a8e17af552f2/9211-0
01:06:00.715 --> 01:06:01.835
<v Patti Silva>Thank you, Commissioner.</v>

e8643036-4412-415e-8387-a8e17af552f2/9212-0
01:06:02.155 --> 01:06:04.595
<v Patti Silva>Is our bylaws.</v>

e8643036-4412-415e-8387-a8e17af552f2/9214-0
01:06:04.915 --> 01:06:07.275
<v Patti Silva>So at last meeting.</v>

e8643036-4412-415e-8387-a8e17af552f2/9220-0
01:06:08.865 --> 01:06:10.185
<v Patti Silva>You guys had the opportunity.</v>

e8643036-4412-415e-8387-a8e17af552f2/9240-0
01:06:10.185 --> 01:06:13.886
<v Patti Silva>I had to bow out early, but I
understand that you guys went</v>

e8643036-4412-415e-8387-a8e17af552f2/9240-1
01:06:13.886 --> 01:06:16.785
<v Patti Silva>through the changes in the
bylaws and I don't.</v>

e8643036-4412-415e-8387-a8e17af552f2/9258-0
01:06:16.865 --> 01:06:21.750
<v Patti Silva>I haven't heard from anybody
that there were any concerns</v>

e8643036-4412-415e-8387-a8e17af552f2/9258-1
01:06:21.750 --> 01:06:26.465
<v Patti Silva>with with the updates, so if
everybody is in agreement.</v>

e8643036-4412-415e-8387-a8e17af552f2/9272-0
01:06:28.045 --> 01:06:33.805
<v Patti Silva>Somebody want to make a motion
to adopt the updated bylaws.</v>

e8643036-4412-415e-8387-a8e17af552f2/9275-0
01:06:40.275 --> 01:06:40.795
<v Michael Beloff>So moved.</v>

e8643036-4412-415e-8387-a8e17af552f2/9278-0
01:06:41.355 --> 01:06:43.435
<v Patti Silva>OK, Michael. And is there a
second?</v>

e8643036-4412-415e-8387-a8e17af552f2/9285-0
01:06:49.135 --> 01:06:49.975
<v aadriennebb@gmail.com>I had a question.</v>

e8643036-4412-415e-8387-a8e17af552f2/9291-0
01:06:49.235 --> 01:06:51.395
<v Scheff, Jordan A>I see Christine waving her hand.
I think that's a second.</v>

e8643036-4412-415e-8387-a8e17af552f2/9295-0
01:06:49.435 --> 01:06:52.795
<v Patti Silva>Christy, Christy. OK, Christine.</v>

e8643036-4412-415e-8387-a8e17af552f2/9294-0
01:06:51.825 --> 01:06:52.625
<v aadriennebb@gmail.com>OK, whatever.</v>

e8643036-4412-415e-8387-a8e17af552f2/9298-0
01:06:54.345 --> 01:06:54.905
<v Patti Silva>All in favor?</v>

e8643036-4412-415e-8387-a8e17af552f2/9309-0
01:06:56.665 --> 01:07:00.425
<v Patti Silva>Say aye. Aye, OK. Any opposed?</v>

e8643036-4412-415e-8387-a8e17af552f2/9305-0
01:06:57.295 --> 01:06:57.695
<v Deidre Toole>Right.</v>

e8643036-4412-415e-8387-a8e17af552f2/9325-0
01:07:02.325 --> 01:07:06.631
<v Patti Silva>OK, there being none, the motion
passes to adopt the amended</v>

e8643036-4412-415e-8387-a8e17af552f2/9325-1
01:07:06.631 --> 01:07:07.125
<v Patti Silva>bylaws.</v>

e8643036-4412-415e-8387-a8e17af552f2/9340-0
01:07:07.205 --> 01:07:13.591
<v Patti Silva>Thank you, everybody. And Next
up is discussion like to form a</v>

e8643036-4412-415e-8387-a8e17af552f2/9340-1
01:07:13.591 --> 01:07:16.125
<v Patti Silva>nominating committee for.</v>

e8643036-4412-415e-8387-a8e17af552f2/9343-0
01:07:18.005 --> 01:07:18.605
<v Patti Silva>It's that time of year.</v>

e8643036-4412-415e-8387-a8e17af552f2/9345-0
01:07:20.405 --> 01:07:20.525
<v Patti Silva>For.</v>

e8643036-4412-415e-8387-a8e17af552f2/9371-0
01:07:22.565 --> 01:07:27.764
<v Patti Silva>The Executive Board it would be
for the the Chair, Vice Chair</v>

e8643036-4412-415e-8387-a8e17af552f2/9371-1
01:07:27.764 --> 01:07:32.460
<v Patti Silva>and secretary position, and we
usually will vote at our</v>

e8643036-4412-415e-8387-a8e17af552f2/9371-2
01:07:32.460 --> 01:07:33.885
<v Patti Silva>December meeting.</v>

e8643036-4412-415e-8387-a8e17af552f2/9374-0
01:07:33.885 --> 01:07:34.845
<v Patti Silva>I believe it is.</v>

e8643036-4412-415e-8387-a8e17af552f2/9376-0
01:07:35.085 --> 01:07:36.125
<v Patti Silva>So we would need.</v>

e8643036-4412-415e-8387-a8e17af552f2/9383-0
01:07:37.965 --> 01:07:40.965
<v Patti Silva>Several people to form a
nominating committee and.</v>

e8643036-4412-415e-8387-a8e17af552f2/9388-0
01:07:42.485 --> 01:07:43.445
<v Patti Silva>Usually what they do is.</v>

e8643036-4412-415e-8387-a8e17af552f2/9398-0
01:07:46.045 --> 01:07:49.051
<v Patti Silva>Try to work together to come up
with a list of people to</v>

e8643036-4412-415e-8387-a8e17af552f2/9398-1
01:07:49.051 --> 01:07:49.525
<v Patti Silva>nominate.</v>

e8643036-4412-415e-8387-a8e17af552f2/9423-0
01:07:51.125 --> 01:07:54.193
<v Patti Silva>Sometimes they will talk to
people who are who have been</v>

e8643036-4412-415e-8387-a8e17af552f2/9423-1
01:07:54.193 --> 01:07:57.261
<v Patti Silva>doing it, see if there's an
interest in continuing or if</v>

e8643036-4412-415e-8387-a8e17af552f2/9423-2
01:07:57.261 --> 01:08:00.005
<v Patti Silva>there are people who are
interested in jumping in.</v>

e8643036-4412-415e-8387-a8e17af552f2/9436-0
01:08:02.045 --> 01:08:05.756
<v Patti Silva>So if there's anybody that is
interested, it's usually I think</v>

e8643036-4412-415e-8387-a8e17af552f2/9436-1
01:08:05.756 --> 01:08:07.405
<v Patti Silva>about 3-3 or four people so.</v>

e8643036-4412-415e-8387-a8e17af552f2/9446-0
01:08:09.725 --> 01:08:13.005
<v Patti Silva>Do we have some volunteers to
form a nominating committee?</v>

e8643036-4412-415e-8387-a8e17af552f2/9450-0
01:08:13.325 --> 01:08:15.205
<v Patti Silva>All right, Adrian. Pam.</v>

e8643036-4412-415e-8387-a8e17af552f2/9454-0
01:08:18.585 --> 01:08:19.345
<v aadriennebb@gmail.com>And Diana?</v>

e8643036-4412-415e-8387-a8e17af552f2/9455-0
01:08:18.665 --> 01:08:20.345
<v Patti Silva>I drink Pam and Diana.</v>

e8643036-4412-415e-8387-a8e17af552f2/9461-0
01:08:21.935 --> 01:08:23.215
<v aadriennebb@gmail.com>We're professionals.</v>

e8643036-4412-415e-8387-a8e17af552f2/9459-0
01:08:22.045 --> 01:08:22.845
<v Patti Silva>This kind of sounds.</v>

e8643036-4412-415e-8387-a8e17af552f2/9468-0
01:08:23.215 --> 01:08:24.335
<v aadriennebb@gmail.com>We've done this before.</v>

e8643036-4412-415e-8387-a8e17af552f2/9467-0
01:08:23.265 --> 01:08:24.385
<v Patti Silva>Sounds familiar?</v>

e8643036-4412-415e-8387-a8e17af552f2/9474-0
01:08:25.105 --> 01:08:26.305
<v Patti Silva>Is there anybody else?</v>

e8643036-4412-415e-8387-a8e17af552f2/9473-0
01:08:25.965 --> 01:08:26.125
<v aadriennebb@gmail.com>With.</v>

e8643036-4412-415e-8387-a8e17af552f2/9477-0
01:08:28.175 --> 01:08:29.775
<v Patti Silva>OK, wonderful.</v>

e8643036-4412-415e-8387-a8e17af552f2/9479-0
01:08:29.775 --> 01:08:30.815
<v Patti Silva>Thank you, ladies.</v>

e8643036-4412-415e-8387-a8e17af552f2/9486-0
01:08:32.405 --> 01:08:33.885
<v Patti Silva>So you guys know your job, so.</v>

e8643036-4412-415e-8387-a8e17af552f2/9494-0
01:08:35.565 --> 01:08:37.165
<v Patti Silva>I'll leave it in your very
capable hands.</v>

e8643036-4412-415e-8387-a8e17af552f2/9495-0
01:08:37.285 --> 01:08:38.365
<v Patti Silva>Thank you so much.</v>

e8643036-4412-415e-8387-a8e17af552f2/9517-0
01:08:40.125 --> 01:08:43.911
<v Patti Silva>And then, Christine, you had
something very quickly to</v>

e8643036-4412-415e-8387-a8e17af552f2/9517-1
01:08:43.911 --> 01:08:47.973
<v Patti Silva>deviate just very, very quickly
from from our agenda about</v>

e8643036-4412-415e-8387-a8e17af552f2/9517-2
01:08:47.973 --> 01:08:49.005
<v Patti Silva>transportation.</v>

e8643036-4412-415e-8387-a8e17af552f2/9527-0
01:08:48.075 --> 01:08:51.015
<v Christine (Guest)>Sure. It's Christine
Haynesworth, Strauss</v>

e8643036-4412-415e-8387-a8e17af552f2/9527-1
01:08:51.015 --> 01:08:51.995
<v Christine (Guest)>councilmember.</v>

e8643036-4412-415e-8387-a8e17af552f2/9536-0
01:08:51.995 --> 01:08:54.060
<v Christine (Guest)>Yes, you haven't heard from me
yet tonight. Aren't you</v>

e8643036-4412-415e-8387-a8e17af552f2/9536-1
01:08:54.060 --> 01:08:54.435
<v Christine (Guest)>surprised?</v>

e8643036-4412-415e-8387-a8e17af552f2/9543-0
01:08:54.755 --> 01:08:58.118
<v Christine (Guest)>But quickly, the Transportation
Committee, after a year, we have</v>

e8643036-4412-415e-8387-a8e17af552f2/9543-1
01:08:58.118 --> 01:08:58.635
<v Christine (Guest)>a meeting.</v>

e8643036-4412-415e-8387-a8e17af552f2/9552-0
01:09:00.205 --> 01:09:02.245
<v Christine (Guest)>And they're apparently thank you
to Kevin.</v>

e8643036-4412-415e-8387-a8e17af552f2/9560-0
01:09:02.245 --> 01:09:04.954
<v Christine (Guest)>I can't see your little square,
Kevin, but I know you're there.</v>

e8643036-4412-415e-8387-a8e17af552f2/9560-1
01:09:04.954 --> 01:09:05.885
<v Christine (Guest)>Thank you for helping.</v>

e8643036-4412-415e-8387-a8e17af552f2/9589-0
01:09:07.565 --> 01:09:11.867
<v Christine (Guest)>They are having an open forum
that is, I guess being run by</v>

e8643036-4412-415e-8387-a8e17af552f2/9589-1
01:09:11.867 --> 01:09:16.097
<v Christine (Guest)>the hired contractor for the dot
to speak to issues to get</v>

e8643036-4412-415e-8387-a8e17af552f2/9589-2
01:09:16.097 --> 01:09:19.968
<v Christine (Guest)>information about what the
issues might be within our</v>

e8643036-4412-415e-8387-a8e17af552f2/9589-3
01:09:19.968 --> 01:09:20.685
<v Christine (Guest)>community.</v>

e8643036-4412-415e-8387-a8e17af552f2/9613-0
01:09:21.735 --> 01:09:28.019
<v Christine (Guest)>And it's October 28th from 11:50
AM or a second session, October</v>

e8643036-4412-415e-8387-a8e17af552f2/9613-1
01:09:28.019 --> 01:09:29.855
<v Christine (Guest)>29th, 6:30 to 8:30.</v>

e8643036-4412-415e-8387-a8e17af552f2/9626-0
01:09:30.175 --> 01:09:33.206
<v Christine (Guest)>PMI could forward the link to
Wes if she could send it out to</v>

e8643036-4412-415e-8387-a8e17af552f2/9626-1
01:09:33.206 --> 01:09:33.695
<v Christine (Guest)>everybody.</v>

e8643036-4412-415e-8387-a8e17af552f2/9635-0
01:09:33.695 --> 01:09:37.198
<v Christine (Guest)>Because it's not something I can
call out and I can't find it</v>

e8643036-4412-415e-8387-a8e17af552f2/9635-1
01:09:37.198 --> 01:09:38.215
<v Christine (Guest)>anywhere else. So.</v>

e8643036-4412-415e-8387-a8e17af552f2/9646-0
01:09:39.765 --> 01:09:43.525
<v Christine (Guest)>Please send out to anybody else
that you think might have.</v>

e8643036-4412-415e-8387-a8e17af552f2/9659-0
01:09:45.205 --> 01:09:48.356
<v Christine (Guest)>Transportation issues or
suggestions or things that we</v>

e8643036-4412-415e-8387-a8e17af552f2/9659-1
01:09:48.356 --> 01:09:49.845
<v Christine (Guest)>can improve our community.</v>

e8643036-4412-415e-8387-a8e17af552f2/9661-0
01:09:50.365 --> 01:09:51.005
<v Christine (Guest)>Thank you so much.</v>

e8643036-4412-415e-8387-a8e17af552f2/9674-0
01:09:52.905 --> 01:09:56.874
<v Patti Silva>Thank you. Christine. Patty
Silva, Council chair and next on</v>

e8643036-4412-415e-8387-a8e17af552f2/9674-1
01:09:56.874 --> 01:09:57.785
<v Patti Silva>our agenda is.</v>

e8643036-4412-415e-8387-a8e17af552f2/9705-0
01:09:59.605 --> 01:10:04.565
<v Patti Silva>The November joint meeting with
the racks, that's a a meeting</v>

e8643036-4412-415e-8387-a8e17af552f2/9705-1
01:10:04.565 --> 01:10:09.205
<v Patti Silva>that we do every year and we
invite the regional advisory</v>

e8643036-4412-415e-8387-a8e17af552f2/9705-2
01:10:09.205 --> 01:10:11.925
<v Patti Silva>councils to attend and
typically.</v>

e8643036-4412-415e-8387-a8e17af552f2/9724-0
01:10:13.525 --> 01:10:17.810
<v Patti Silva>The is it regional directors or
if the directors aren't</v>

e8643036-4412-415e-8387-a8e17af552f2/9724-1
01:10:17.810 --> 01:10:22.400
<v Patti Silva>available, it might be the the
rack chairs that will give a</v>

e8643036-4412-415e-8387-a8e17af552f2/9724-2
01:10:22.400 --> 01:10:23.165
<v Patti Silva>report on.</v>

e8643036-4412-415e-8387-a8e17af552f2/9733-0
01:10:24.635 --> 01:10:27.384
<v Patti Silva>That's been going on in their
regions, that sort of thing. Is</v>

e8643036-4412-415e-8387-a8e17af552f2/9733-1
01:10:27.384 --> 01:10:28.315
<v Patti Silva>that correct, Jordan?</v>

e8643036-4412-415e-8387-a8e17af552f2/9739-0
01:10:31.635 --> 01:10:32.995
<v Scheff, Jordan A>Board and Chef Commissioner,
DDS.</v>

e8643036-4412-415e-8387-a8e17af552f2/9741-0
01:10:32.995 --> 01:10:34.075
<v Scheff, Jordan A>Yeah, I believe that is correct.</v>

e8643036-4412-415e-8387-a8e17af552f2/9745-0
01:10:35.085 --> 01:10:37.285
<v Patti Silva>And we also.</v>

e8643036-4412-415e-8387-a8e17af552f2/9760-0
01:10:39.085 --> 01:10:42.220
<v Patti Silva>Will Jordan, you said you were
going to do something about the</v>

e8643036-4412-415e-8387-a8e17af552f2/9760-1
01:10:42.220 --> 01:10:43.165
<v Patti Silva>wait list, correct?</v>

e8643036-4412-415e-8387-a8e17af552f2/9787-0
01:10:43.805 --> 01:10:47.708
<v Scheff, Jordan A>Yeah, the, the the Statute on
the joint meeting asks me to</v>

e8643036-4412-415e-8387-a8e17af552f2/9787-1
01:10:47.708 --> 01:10:51.942
<v Scheff, Jordan A>report out on the wait list once
annually to a joint meeting of</v>

e8643036-4412-415e-8387-a8e17af552f2/9787-2
01:10:51.942 --> 01:10:55.845
<v Scheff, Jordan A>the racks and Council, and
that's that is what we will do.</v>

e8643036-4412-415e-8387-a8e17af552f2/9818-0
01:10:56.785 --> 01:11:00.054
<v Patti Silva>Right. And then once we're done
with that portion of the the</v>

e8643036-4412-415e-8387-a8e17af552f2/9818-1
01:11:00.054 --> 01:11:03.269
<v Patti Silva>meeting, then we go into our our
regular meeting and if the</v>

e8643036-4412-415e-8387-a8e17af552f2/9818-2
01:11:03.269 --> 01:11:06.591
<v Patti Silva>people from the racks want to
stand as members of the public,</v>

e8643036-4412-415e-8387-a8e17af552f2/9818-3
01:11:06.591 --> 01:11:08.145
<v Patti Silva>they can do that as well, so.</v>

e8643036-4412-415e-8387-a8e17af552f2/9838-0
01:11:09.685 --> 01:11:13.426
<v Patti Silva>So that is really what the the
joint meeting is about and hope</v>

e8643036-4412-415e-8387-a8e17af552f2/9838-1
01:11:13.426 --> 01:11:15.445
<v Patti Silva>everybody will be able to
attend.</v>

e8643036-4412-415e-8387-a8e17af552f2/9856-0
01:11:15.445 --> 01:11:18.780
<v Patti Silva>It's it's nice to see what's
happening around the state and</v>

e8643036-4412-415e-8387-a8e17af552f2/9856-1
01:11:18.780 --> 01:11:22.225
<v Patti Silva>get to know some of the people
who were involved in the other</v>

e8643036-4412-415e-8387-a8e17af552f2/9856-2
01:11:22.225 --> 01:11:22.725
<v Patti Silva>areas so.</v>

e8643036-4412-415e-8387-a8e17af552f2/9858-0
01:11:25.045 --> 01:11:25.365
<v Patti Silva>Then.</v>

e8643036-4412-415e-8387-a8e17af552f2/9865-0
01:11:26.095 --> 01:11:29.655
<v Patti Silva>The last thing I had was I was
working on.</v>

e8643036-4412-415e-8387-a8e17af552f2/9888-0
01:11:31.205 --> 01:11:35.123
<v Patti Silva>Trying to update my Member
directory and this one goes back</v>

e8643036-4412-415e-8387-a8e17af552f2/9888-1
01:11:35.123 --> 01:11:39.171
<v Patti Silva>pretty far and I wanted to just
get a a feel for how you guys</v>

e8643036-4412-415e-8387-a8e17af552f2/9888-2
01:11:39.171 --> 01:11:40.085
<v Patti Silva>thought about.</v>

e8643036-4412-415e-8387-a8e17af552f2/9923-0
01:11:41.725 --> 01:11:45.876
<v Patti Silva>Sharing your information as far
as like a phone number, e-mail,</v>

e8643036-4412-415e-8387-a8e17af552f2/9923-1
01:11:45.876 --> 01:11:49.961
<v Patti Silva>just among council members. So
that in case you wanted to give</v>

e8643036-4412-415e-8387-a8e17af552f2/9923-2
01:11:49.961 --> 01:11:53.787
<v Patti Silva>somebody a call or something
like that, we would have that</v>

e8643036-4412-415e-8387-a8e17af552f2/9923-3
01:11:53.787 --> 01:11:54.565
<v Patti Silva>information.</v>

e8643036-4412-415e-8387-a8e17af552f2/9939-0
01:11:55.295 --> 01:11:58.752
<v Patti Silva>And you know it it, like I said,
it would be kept, you know, just</v>

e8643036-4412-415e-8387-a8e17af552f2/9939-1
01:11:58.752 --> 01:11:59.695
<v Patti Silva>among the Council.</v>

e8643036-4412-415e-8387-a8e17af552f2/9976-0
01:11:59.895 --> 01:12:04.258
<v Patti Silva>So if you guys are OK with that,
I can put something together and</v>

e8643036-4412-415e-8387-a8e17af552f2/9976-1
01:12:04.258 --> 01:12:08.223
<v Patti Silva>just send it out to to you to
fill in your info and and you</v>

e8643036-4412-415e-8387-a8e17af552f2/9976-2
01:12:08.223 --> 01:12:12.454
<v Patti Silva>know, once it's all completed, I
can I can shoot it back out to</v>

e8643036-4412-415e-8387-a8e17af552f2/9976-3
01:12:12.454 --> 01:12:14.965
<v Patti Silva>everybody. So you'll have it for
ref.</v>

e8643036-4412-415e-8387-a8e17af552f2/9999-0
01:12:15.335 --> 01:12:19.235
<v Patti Silva>And and you know, whatever you
know purposes, it's great if</v>

e8643036-4412-415e-8387-a8e17af552f2/9999-1
01:12:19.235 --> 01:12:23.070
<v Patti Silva>we're, you know, doing like
subcommittee planning and and,</v>

e8643036-4412-415e-8387-a8e17af552f2/9999-2
01:12:23.070 --> 01:12:23.655
<v Patti Silva>you know.</v>

e8643036-4412-415e-8387-a8e17af552f2/10010-0
01:12:24.445 --> 01:12:26.904
<v Patti Silva>You sent an e-mail, but you
wanna give a call or something</v>

e8643036-4412-415e-8387-a8e17af552f2/10010-1
01:12:26.904 --> 01:12:27.445
<v Patti Silva>like that so.</v>

e8643036-4412-415e-8387-a8e17af552f2/10031-0
01:12:28.045 --> 01:12:32.245
<v Patti Silva>If you guys are all OK with
that, I could go ahead and and</v>

e8643036-4412-415e-8387-a8e17af552f2/10031-1
01:12:32.245 --> 01:12:36.373
<v Patti Silva>finish that up and send it out
and we'll we'll get it all</v>

e8643036-4412-415e-8387-a8e17af552f2/10031-2
01:12:36.373 --> 01:12:37.085
<v Patti Silva>filled in.</v>

e8643036-4412-415e-8387-a8e17af552f2/10036-0
01:12:37.085 --> 01:12:39.085
<v Patti Silva>Does that sound alright to
everybody?</v>

e8643036-4412-415e-8387-a8e17af552f2/10042-0
01:12:40.645 --> 01:12:42.085
<v Patti Silva>Yeah, I'm seeing shaking heads.</v>

e8643036-4412-415e-8387-a8e17af552f2/10043-0
01:12:42.085 --> 01:12:42.245
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/10047-0
01:12:42.405 --> 01:12:43.445
<v Patti Silva>All right. OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/10050-0
01:12:43.445 --> 01:12:44.725
<v Patti Silva>So I'll I'll go ahead and do
that.</v>

e8643036-4412-415e-8387-a8e17af552f2/10058-0
01:12:46.605 --> 01:12:49.765
<v Patti Silva>And then topics for future
meetings.</v>

e8643036-4412-415e-8387-a8e17af552f2/10080-0
01:12:51.485 --> 01:12:55.138
<v Patti Silva>Well, next month is our our
joint meeting. So that I think</v>

e8643036-4412-415e-8387-a8e17af552f2/10080-1
01:12:55.138 --> 01:12:58.605
<v Patti Silva>is pretty filled up and December
is our annual meeting.</v>

e8643036-4412-415e-8387-a8e17af552f2/10093-0
01:12:59.735 --> 01:13:05.063
<v Patti Silva>Where we usually do our our
nominating committee vote and</v>

e8643036-4412-415e-8387-a8e17af552f2/10093-1
01:13:05.063 --> 01:13:07.175
<v Patti Silva>that sort of thing. So.</v>

e8643036-4412-415e-8387-a8e17af552f2/10105-0
01:13:08.725 --> 01:13:13.085
<v Patti Silva>I'm not sure if we have time for
a presentation.</v>

e8643036-4412-415e-8387-a8e17af552f2/10110-0
01:13:13.405 --> 01:13:15.525
<v Patti Silva>Kevin Bronson, do you have your
hand up?</v>

e8643036-4412-415e-8387-a8e17af552f2/10120-0
01:13:16.975 --> 01:13:18.455
<v Bronson, Kevin>New Kevin Bronson, dds.</v>

e8643036-4412-415e-8387-a8e17af552f2/10146-0
01:13:18.455 --> 01:13:22.851
<v Bronson, Kevin>I just wanted to remind you,
Patty, seeing that this is your</v>

e8643036-4412-415e-8387-a8e17af552f2/10146-1
01:13:22.851 --> 01:13:27.246
<v Bronson, Kevin>first time being chair that in
the December meeting you also</v>

e8643036-4412-415e-8387-a8e17af552f2/10146-2
01:13:27.246 --> 01:13:28.975
<v Bronson, Kevin>pick the dates for 2025.</v>

e8643036-4412-415e-8387-a8e17af552f2/10149-0
01:13:33.315 --> 01:13:33.675
<v Patti Silva>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/10154-0
01:13:36.495 --> 01:13:38.815
<v Patti Silva>The calendar together for for
the OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/10159-0
01:13:40.405 --> 01:13:41.885
<v Patti Silva>Adrian, see your hand up.</v>

e8643036-4412-415e-8387-a8e17af552f2/10175-0
01:13:43.065 --> 01:13:46.382
<v aadriennebb@gmail.com>Thank you, Adrian Benjamin,
councilmember. I just, I brought</v>

e8643036-4412-415e-8387-a8e17af552f2/10175-1
01:13:46.382 --> 01:13:48.665
<v aadriennebb@gmail.com>this up last year. Last month at
the end.</v>

e8643036-4412-415e-8387-a8e17af552f2/10189-0
01:13:50.205 --> 01:13:54.184
<v aadriennebb@gmail.com>So I we used to go on field
trips and it was really helpful</v>

e8643036-4412-415e-8387-a8e17af552f2/10189-1
01:13:54.184 --> 01:13:55.245
<v aadriennebb@gmail.com>and informative.</v>

e8643036-4412-415e-8387-a8e17af552f2/10193-0
01:13:55.365 --> 01:13:56.845
<v aadriennebb@gmail.com>One year we went.</v>

e8643036-4412-415e-8387-a8e17af552f2/10233-0
01:13:56.845 --> 01:13:59.957
<v aadriennebb@gmail.com>One month we went to Kevin
Zinglars Mark program in</v>

e8643036-4412-415e-8387-a8e17af552f2/10233-1
01:13:59.957 --> 01:14:03.608
<v aadriennebb@gmail.com>Manchester and learned a lot
about. We just toured his whole</v>

e8643036-4412-415e-8387-a8e17af552f2/10233-2
01:14:03.608 --> 01:14:07.319
<v aadriennebb@gmail.com>space and it was fabulous for
people who aren't that familiar</v>

e8643036-4412-415e-8387-a8e17af552f2/10233-3
01:14:07.319 --> 01:14:10.730
<v aadriennebb@gmail.com>with group homes and day
programs. It's it's a great way</v>

e8643036-4412-415e-8387-a8e17af552f2/10233-4
01:14:10.730 --> 01:14:12.525
<v aadriennebb@gmail.com>to see. It doesn't have to be.</v>

e8643036-4412-415e-8387-a8e17af552f2/10239-0
01:14:12.525 --> 01:14:13.845
<v aadriennebb@gmail.com>His again, but someone's.</v>

e8643036-4412-415e-8387-a8e17af552f2/10241-0
01:14:14.635 --> 01:14:15.595
<v aadriennebb@gmail.com>We went to.</v>

e8643036-4412-415e-8387-a8e17af552f2/10250-0
01:14:17.325 --> 01:14:20.165
<v aadriennebb@gmail.com>The oh, gosh, what's it called?
This big center?</v>

e8643036-4412-415e-8387-a8e17af552f2/10254-0
01:14:20.325 --> 01:14:21.965
<v aadriennebb@gmail.com>Oh God, I'm Walgreens.</v>

e8643036-4412-415e-8387-a8e17af552f2/10273-0
01:14:23.245 --> 01:14:26.160
<v Scheff, Jordan A>Oh, the the Walgreens
distribution plant in Windsor,</v>

e8643036-4412-415e-8387-a8e17af552f2/10286-0
01:14:23.725 --> 01:14:27.760
<v aadriennebb@gmail.com>Place the Walgreens where they
have a commitment to hiring a</v>

e8643036-4412-415e-8387-a8e17af552f2/10273-1
01:14:26.160 --> 01:14:26.325
<v Scheff, Jordan A>CT.</v>

e8643036-4412-415e-8387-a8e17af552f2/10286-1
01:14:27.760 --> 01:14:31.596
<v aadriennebb@gmail.com>third of their people. Have a
disability, which is pretty</v>

e8643036-4412-415e-8387-a8e17af552f2/10286-2
01:14:31.596 --> 01:14:32.125
<v aadriennebb@gmail.com>amazing.</v>

e8643036-4412-415e-8387-a8e17af552f2/10303-0
01:14:32.125 --> 01:14:35.638
<v aadriennebb@gmail.com>We also went to the hospital for
Special Care's new autism</v>

e8643036-4412-415e-8387-a8e17af552f2/10303-1
01:14:35.638 --> 01:14:37.245
<v aadriennebb@gmail.com>program and did some tours.</v>

e8643036-4412-415e-8387-a8e17af552f2/10328-0
01:14:37.245 --> 01:14:40.541
<v aadriennebb@gmail.com>I think I know we can't do that
every month and I'm not</v>

e8643036-4412-415e-8387-a8e17af552f2/10328-1
01:14:40.541 --> 01:14:44.307
<v aadriennebb@gmail.com>suggesting that, but it would be
good to put our heads together</v>

e8643036-4412-415e-8387-a8e17af552f2/10328-2
01:14:44.307 --> 01:14:47.485
<v aadriennebb@gmail.com>and think about visiting,
learning more, seeing more.</v>

e8643036-4412-415e-8387-a8e17af552f2/10333-0
01:14:47.485 --> 01:14:50.005
<v aadriennebb@gmail.com>We all sort of know our own kids
situation.</v>

e8643036-4412-415e-8387-a8e17af552f2/10344-0
01:14:50.865 --> 01:14:53.822
<v aadriennebb@gmail.com>On our own setting situation,
but to get a broader perspective</v>

e8643036-4412-415e-8387-a8e17af552f2/10344-1
01:14:53.822 --> 01:14:55.465
<v aadriennebb@gmail.com>for us, I think it would be
great.</v>

e8643036-4412-415e-8387-a8e17af552f2/10348-0
01:14:57.005 --> 01:14:57.525
<v aadriennebb@gmail.com>That is all.</v>

e8643036-4412-415e-8387-a8e17af552f2/10355-0
01:14:59.195 --> 01:15:01.995
<v Patti Silva>Thank you, Adrian Petty Council
chair.</v>

e8643036-4412-415e-8387-a8e17af552f2/10362-0
01:15:03.725 --> 01:15:05.845
<v Patti Silva>Pen, you have your hand raised.</v>

e8643036-4412-415e-8387-a8e17af552f2/10367-0
01:15:05.485 --> 01:15:08.285
<v Pam DonAroma>Pam Dynoroma, Council member, a
few things.</v>

e8643036-4412-415e-8387-a8e17af552f2/10376-0
01:15:08.965 --> 01:15:13.932
<v Pam DonAroma>I don't know if everybody knows
when resigned as Ark executive</v>

e8643036-4412-415e-8387-a8e17af552f2/10376-1
01:15:13.932 --> 01:15:14.405
<v Pam DonAroma>today.</v>

e8643036-4412-415e-8387-a8e17af552f2/10380-0
01:15:15.705 --> 01:15:16.145
<v aadriennebb@gmail.com>No.</v>

e8643036-4412-415e-8387-a8e17af552f2/10390-0
01:15:15.965 --> 01:15:18.445
<v Pam DonAroma>So that was a a big
disappointment.</v>

e8643036-4412-415e-8387-a8e17af552f2/10402-0
01:15:18.445 --> 01:15:23.605
<v Pam DonAroma>He has some health issues, so he
submitted his resignation.</v>

e8643036-4412-415e-8387-a8e17af552f2/10400-0
01:15:20.325 --> 01:15:22.085
<v aadriennebb@gmail.com>Oh no, I'm sorry.</v>

e8643036-4412-415e-8387-a8e17af552f2/10413-0
01:15:24.485 --> 01:15:28.125
<v Pam DonAroma>So I know that there's going to
be a search committee also.</v>

e8643036-4412-415e-8387-a8e17af552f2/10423-0
01:15:28.445 --> 01:15:33.526
<v Pam DonAroma>I don't know if we wanted to
consider, you know, doing a live</v>

e8643036-4412-415e-8387-a8e17af552f2/10423-1
01:15:33.526 --> 01:15:35.165
<v Pam DonAroma>meeting in December.</v>

e8643036-4412-415e-8387-a8e17af552f2/10436-0
01:15:36.015 --> 01:15:39.498
<v Pam DonAroma>You know, considering it's the
holidays, that was something I</v>

e8643036-4412-415e-8387-a8e17af552f2/10436-1
01:15:39.498 --> 01:15:41.295
<v Pam DonAroma>know we had talked about before.</v>

e8643036-4412-415e-8387-a8e17af552f2/10438-0
01:15:45.245 --> 01:15:46.165
<v Pam DonAroma>Just something to consider.</v>

e8643036-4412-415e-8387-a8e17af552f2/10448-0
01:15:48.645 --> 01:15:51.685
<v aadriennebb@gmail.com>And bring food and cookies like
we used to.</v>

e8643036-4412-415e-8387-a8e17af552f2/10463-0
01:15:50.985 --> 01:15:56.996
<v Pam DonAroma>We ha we have the most amazing
ovens that were purchased by DDS</v>

e8643036-4412-415e-8387-a8e17af552f2/10459-0
01:15:55.415 --> 01:15:55.615
<v aadriennebb@gmail.com>Oh.</v>

e8643036-4412-415e-8387-a8e17af552f2/10463-1
01:15:56.996 --> 01:15:57.465
<v Pam DonAroma>that.</v>

e8643036-4412-415e-8387-a8e17af552f2/10498-0
01:15:59.005 --> 01:16:02.880
<v Pam DonAroma>Commissioner Heschel has yet to
see, and now we're going to have</v>

e8643036-4412-415e-8387-a8e17af552f2/10479-0
01:16:02.175 --> 01:16:02.855
<v Scheff, Jordan A>It's true.</v>

e8643036-4412-415e-8387-a8e17af552f2/10498-1
01:16:02.880 --> 01:16:06.696
<v Pam DonAroma>them in two locations as soon as
we open up our new building in</v>

e8643036-4412-415e-8387-a8e17af552f2/10498-2
01:16:06.696 --> 01:16:10.451
<v Pam DonAroma>Harford, there will also be a
new commercial kitchen operating</v>

e8643036-4412-415e-8387-a8e17af552f2/10498-3
01:16:10.451 --> 01:16:11.405
<v Pam DonAroma>out of Hartford.</v>

e8643036-4412-415e-8387-a8e17af552f2/10500-0
01:16:12.525 --> 01:16:12.805
<v Scheff, Jordan A>And.</v>

e8643036-4412-415e-8387-a8e17af552f2/10518-0
01:16:13.125 --> 01:16:17.302
<v Pam DonAroma>We're producing 500 meals over
500 meals a week. With those</v>

e8643036-4412-415e-8387-a8e17af552f2/10518-1
01:16:17.302 --> 01:16:18.485
<v Pam DonAroma>with those ovens.</v>

e8643036-4412-415e-8387-a8e17af552f2/10522-0
01:16:20.495 --> 01:16:21.215
<v aadriennebb@gmail.com>What?</v>

e8643036-4412-415e-8387-a8e17af552f2/10524-0
01:16:21.675 --> 01:16:23.395
<v Patti Silva>You're learning a sin, right,
Pam?</v>

e8643036-4412-415e-8387-a8e17af552f2/10536-0
01:16:25.195 --> 01:16:28.035
<v aadriennebb@gmail.com>That sounds amazing on many,
many levels.</v>

e8643036-4412-415e-8387-a8e17af552f2/10531-0
01:16:26.755 --> 01:16:26.955
<v Patti Silva>Yeah.</v>

e8643036-4412-415e-8387-a8e17af552f2/10537-0
01:16:27.125 --> 01:16:29.245
<v Pam DonAroma>They are pretty. They are
amazing.</v>

e8643036-4412-415e-8387-a8e17af552f2/10539-0
01:16:30.685 --> 01:16:31.285
<v aadriennebb@gmail.com>Wow.</v>

e8643036-4412-415e-8387-a8e17af552f2/10545-0
01:16:34.895 --> 01:16:36.295
<v Patti Silva>No, thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/10548-0
01:16:36.295 --> 01:16:40.175
<v Patti Silva>Pam Jordan, do you have your
hand raised as well?</v>

e8643036-4412-415e-8387-a8e17af552f2/10583-0
01:16:40.905 --> 01:16:44.380
<v Scheff, Jordan A>Yeah, Jordan, chef,
Commissioner, DDS to Adrian's</v>

e8643036-4412-415e-8387-a8e17af552f2/10583-1
01:16:44.380 --> 01:16:48.758
<v Scheff, Jordan A>point, I don't remember if we've
been to any of the supportive</v>

e8643036-4412-415e-8387-a8e17af552f2/10583-2
01:16:48.758 --> 01:16:52.928
<v Scheff, Jordan A>housing settings. We've stood up
like the ones we're up at.</v>

e8643036-4412-415e-8387-a8e17af552f2/10583-3
01:16:52.928 --> 01:16:53.345
<v Scheff, Jordan A>Favar.</v>

e8643036-4412-415e-8387-a8e17af552f2/10593-0
01:16:53.345 --> 01:16:56.400
<v Scheff, Jordan A>I know there's some going in
Hartford, but we now have them</v>

e8643036-4412-415e-8387-a8e17af552f2/10593-1
01:16:56.400 --> 01:16:57.265
<v Scheff, Jordan A>around the state.</v>

e8643036-4412-415e-8387-a8e17af552f2/10609-0
01:16:58.225 --> 01:17:01.897
<v Scheff, Jordan A>I think we have six or seven
operational and I I would love</v>

e8643036-4412-415e-8387-a8e17af552f2/10609-1
01:17:01.897 --> 01:17:05.385
<v Scheff, Jordan A>for you to see what I've been
talking about in terms of.</v>

e8643036-4412-415e-8387-a8e17af552f2/10614-0
01:17:06.205 --> 01:17:07.685
<v Scheff, Jordan A>The community built around.</v>

e8643036-4412-415e-8387-a8e17af552f2/10626-0
01:17:09.605 --> 01:17:12.123
<v Scheff, Jordan A>An apartment building that is
only 25% people with</v>

e8643036-4412-415e-8387-a8e17af552f2/10626-1
01:17:12.123 --> 01:17:12.765
<v Scheff, Jordan A>disabilities.</v>

e8643036-4412-415e-8387-a8e17af552f2/10638-0
01:17:12.855 --> 01:17:15.931
<v Scheff, Jordan A>Disabilities at a Max and just
the sense of community and the</v>

e8643036-4412-415e-8387-a8e17af552f2/10638-1
01:17:15.931 --> 01:17:17.815
<v Scheff, Jordan A>beauty of the buildings and all
that.</v>

e8643036-4412-415e-8387-a8e17af552f2/10668-0
01:17:19.365 --> 01:17:22.849
<v Scheff, Jordan A>So I would suggest winter time's
harder, but I I would still</v>

e8643036-4412-415e-8387-a8e17af552f2/10668-1
01:17:22.849 --> 01:17:25.932
<v Scheff, Jordan A>suggest we try and get out and
see if you want a tour</v>

e8643036-4412-415e-8387-a8e17af552f2/10668-2
01:17:25.932 --> 01:17:28.045
<v Scheff, Jordan A>someplace. And I don't want to
miss.</v>

e8643036-4412-415e-8387-a8e17af552f2/10694-0
01:17:28.125 --> 01:17:30.887
<v Scheff, Jordan A>I do need to see the ovens I've
been talking about seeing the</v>

e8643036-4412-415e-8387-a8e17af552f2/10694-1
01:17:30.887 --> 01:17:33.605
<v Scheff, Jordan A>ovens since Peter's retirement
and I need to go see the oven</v>

e8643036-4412-415e-8387-a8e17af552f2/10694-2
01:17:33.605 --> 01:17:35.565
<v Scheff, Jordan A>so, but I don't need you all to
go with me.</v>

e8643036-4412-415e-8387-a8e17af552f2/10700-0
01:17:35.565 --> 01:17:37.525
<v Scheff, Jordan A>I can go visit Pam all on my
own, like a big boy.</v>

e8643036-4412-415e-8387-a8e17af552f2/10708-0
01:17:39.205 --> 01:17:41.205
<v Scheff, Jordan A>But if you guys want the cookies
then you have to come with me.</v>

e8643036-4412-415e-8387-a8e17af552f2/10711-0
01:17:41.925 --> 01:17:42.645
<v aadriennebb@gmail.com>Let's go.</v>

e8643036-4412-415e-8387-a8e17af552f2/10724-0
01:17:44.435 --> 01:17:48.779
<v Patti Silva>Patti Silva, Council chair, PM,
would that offer be open for the</v>

e8643036-4412-415e-8387-a8e17af552f2/10724-1
01:17:48.779 --> 01:17:49.915
<v Patti Silva>December meeting?</v>

e8643036-4412-415e-8387-a8e17af552f2/10726-0
01:17:52.005 --> 01:17:52.405
<v Pam DonAroma>Sure.</v>

e8643036-4412-415e-8387-a8e17af552f2/10732-0
01:17:53.505 --> 01:17:54.345
<v aadriennebb@gmail.com>When? What?</v>

e8643036-4412-415e-8387-a8e17af552f2/10738-0
01:17:53.695 --> 01:17:54.255
<v Patti Silva>But when you.</v>

e8643036-4412-415e-8387-a8e17af552f2/10740-0
01:17:54.625 --> 01:17:55.265
<v aadriennebb@gmail.com>What's the date?</v>

e8643036-4412-415e-8387-a8e17af552f2/10741-0
01:17:54.845 --> 01:17:56.325
<v Pam DonAroma>Came down Aroma Council member.</v>

e8643036-4412-415e-8387-a8e17af552f2/10746-0
01:17:57.885 --> 01:17:58.605
<v Pam DonAroma>My dog is barking.</v>

e8643036-4412-415e-8387-a8e17af552f2/10753-0
01:17:59.315 --> 01:18:02.907
<v Patti Silva>December 19th. That's when the
that's when the December meeting</v>

e8643036-4412-415e-8387-a8e17af552f2/10753-1
01:18:02.907 --> 01:18:03.075
<v Patti Silva>is.</v>

e8643036-4412-415e-8387-a8e17af552f2/10755-0
01:18:05.935 --> 01:18:07.175
<v Patti Silva>What do you guys think of that?</v>

e8643036-4412-415e-8387-a8e17af552f2/10757-0
01:18:08.585 --> 01:18:08.665
<v Pam DonAroma>Up.</v>

e8643036-4412-415e-8387-a8e17af552f2/10761-0
01:18:11.605 --> 01:18:12.085
<v aadriennebb@gmail.com>Be fun.</v>

e8643036-4412-415e-8387-a8e17af552f2/10764-0
01:18:13.415 --> 01:18:15.175
<v Patti Silva>I see Lisa has her hand up.</v>

e8643036-4412-415e-8387-a8e17af552f2/10766-0
01:18:18.525 --> 01:18:19.365
<v Patti Silva>Peace. Are you there?</v>

e8643036-4412-415e-8387-a8e17af552f2/10768-0
01:18:20.105 --> 01:18:20.305
<v Pam DonAroma>Hello.</v>

e8643036-4412-415e-8387-a8e17af552f2/10770-0
01:18:22.325 --> 01:18:22.765
<v Lisa Weisinger>I'm here.</v>

e8643036-4412-415e-8387-a8e17af552f2/10772-0
01:18:22.765 --> 01:18:23.525
<v Lisa Weisinger>Can you guys hear me?</v>

e8643036-4412-415e-8387-a8e17af552f2/10782-0
01:18:25.685 --> 01:18:27.245
<v Lisa Weisinger>I have two questions.</v>

e8643036-4412-415e-8387-a8e17af552f2/10794-0
01:18:27.245 --> 01:18:29.635
<v Lisa Weisinger>One is, I think, Adrian, you
were just talking about the</v>

e8643036-4412-415e-8387-a8e17af552f2/10794-1
01:18:29.635 --> 01:18:30.725
<v Lisa Weisinger>hospital for special care.</v>

e8643036-4412-415e-8387-a8e17af552f2/10802-0
01:18:30.725 --> 01:18:34.445
<v Lisa Weisinger>There's there's a new or
something autism program.</v>

e8643036-4412-415e-8387-a8e17af552f2/10814-0
01:18:34.645 --> 01:18:37.716
<v Lisa Weisinger>Do you guys know who's in charge
of that or how I can get and get</v>

e8643036-4412-415e-8387-a8e17af552f2/10814-1
01:18:37.716 --> 01:18:38.925
<v Lisa Weisinger>some information about it?</v>

e8643036-4412-415e-8387-a8e17af552f2/10816-0
01:18:40.265 --> 01:18:40.385
<v Diana Mennone>Run.</v>

e8643036-4412-415e-8387-a8e17af552f2/10818-0
01:18:42.845 --> 01:18:43.245
<v Lisa Weisinger>Pam.</v>

e8643036-4412-415e-8387-a8e17af552f2/10833-0
01:18:44.425 --> 01:18:48.547
<v Pam DonAroma>Come down around a council
member, Lynn Riccio is retiring</v>

e8643036-4412-415e-8387-a8e17af552f2/10833-1
01:18:48.547 --> 01:18:49.105
<v Pam DonAroma>as well.</v>

e8643036-4412-415e-8387-a8e17af552f2/10840-0
01:18:49.465 --> 01:18:51.425
<v Pam DonAroma>She would be the person to
contact.</v>

e8643036-4412-415e-8387-a8e17af552f2/10841-0
01:18:51.425 --> 01:18:53.585
<v Pam DonAroma>She's currently the CEO, but.</v>

e8643036-4412-415e-8387-a8e17af552f2/10862-0
01:18:55.125 --> 01:18:59.685
<v Pam DonAroma>I don't know how long she has
until her retirement, but she</v>

e8643036-4412-415e-8387-a8e17af552f2/10862-1
01:18:59.685 --> 01:19:02.725
<v Pam DonAroma>would be the person to contact
for now.</v>

e8643036-4412-415e-8387-a8e17af552f2/10867-0
01:19:04.285 --> 01:19:06.005
<v Lisa Weisinger>Can you send me her information?</v>

e8643036-4412-415e-8387-a8e17af552f2/10869-0
01:19:07.645 --> 01:19:08.005
<v Pam DonAroma>Sure.</v>

e8643036-4412-415e-8387-a8e17af552f2/10872-0
01:19:08.555 --> 01:19:09.475
<v Lisa Weisinger>OK, great.</v>

e8643036-4412-415e-8387-a8e17af552f2/10892-0
01:19:09.515 --> 01:19:14.012
<v Lisa Weisinger>And then along another route is
I don't know who to to ask this,</v>

e8643036-4412-415e-8387-a8e17af552f2/10892-1
01:19:14.012 --> 01:19:17.955
<v Lisa Weisinger>but maybe Jordan, we came across
a bill a long time ago.</v>

e8643036-4412-415e-8387-a8e17af552f2/10935-0
01:19:19.525 --> 01:19:23.970
<v Lisa Weisinger>House Bill 23, blah blah blah.
That was talking about how maybe</v>

e8643036-4412-415e-8387-a8e17af552f2/10935-1
01:19:23.970 --> 01:19:27.999
<v Lisa Weisinger>Pam can sort of bring it up a
little bit better for us in</v>

e8643036-4412-415e-8387-a8e17af552f2/10935-2
01:19:27.999 --> 01:19:32.027
<v Lisa Weisinger>terms of reimbursing the
employers for those individuals,</v>

e8643036-4412-415e-8387-a8e17af552f2/10935-3
01:19:32.027 --> 01:19:34.805
<v Lisa Weisinger>those companies that had more
than 10%.</v>

e8643036-4412-415e-8387-a8e17af552f2/10940-0
01:19:36.525 --> 01:19:38.485
<v Lisa Weisinger>Of their workforce.</v>

e8643036-4412-415e-8387-a8e17af552f2/10987-0
01:19:39.105 --> 01:19:43.309
<v Lisa Weisinger>With people with IDD and it was
quite a big reimbursement for</v>

e8643036-4412-415e-8387-a8e17af552f2/10987-1
01:19:43.309 --> 01:19:47.039
<v Lisa Weisinger>the for the employers. But we
found out that there's a</v>

e8643036-4412-415e-8387-a8e17af552f2/10987-2
01:19:47.039 --> 01:19:51.379
<v Lisa Weisinger>loophole that the employers not
only have to have more than 10%</v>

e8643036-4412-415e-8387-a8e17af552f2/10987-3
01:19:51.379 --> 01:19:55.447
<v Lisa Weisinger>of their workforce of people
with IDD, but they also had to</v>

e8643036-4412-415e-8387-a8e17af552f2/10987-4
01:19:55.447 --> 01:19:56.125
<v Lisa Weisinger>have more.</v>

e8643036-4412-415e-8387-a8e17af552f2/11000-0
01:19:56.125 --> 01:19:59.665
<v Lisa Weisinger>Than 50% of their product sold
out of state now.</v>

e8643036-4412-415e-8387-a8e17af552f2/11008-0
01:19:59.665 --> 01:20:01.705
<v Lisa Weisinger>We don't know where that came
from.</v>

e8643036-4412-415e-8387-a8e17af552f2/11017-0
01:20:01.705 --> 01:20:04.127
<v Lisa Weisinger>We've talked to a bunch of
legislators and they don't know</v>

e8643036-4412-415e-8387-a8e17af552f2/11017-1
01:20:04.127 --> 01:20:04.865
<v Lisa Weisinger>anything about it.</v>

e8643036-4412-415e-8387-a8e17af552f2/11022-0
01:20:05.605 --> 01:20:06.765
<v Lisa Weisinger>Do you know anything about it?</v>

e8643036-4412-415e-8387-a8e17af552f2/11025-0
01:20:11.235 --> 01:20:12.155
<v Scheff, Jordan A>If you want to go first.</v>

e8643036-4412-415e-8387-a8e17af552f2/11026-0
01:20:12.455 --> 01:20:12.935
<v Patti Silva>Yep, Yep.</v>

e8643036-4412-415e-8387-a8e17af552f2/11038-0
01:20:13.685 --> 01:20:16.565
<v Pam DonAroma>Well, I contacted Pam, Don Aroma
Council member.</v>

e8643036-4412-415e-8387-a8e17af552f2/11059-0
01:20:16.565 --> 01:20:20.677
<v Pam DonAroma>I contacted economic development
because Damian and I were all</v>

e8643036-4412-415e-8387-a8e17af552f2/11059-1
01:20:20.677 --> 01:20:24.593
<v Pam DonAroma>excited, thinking, you know, we
can get reimbursed and stop</v>

e8643036-4412-415e-8387-a8e17af552f2/11059-2
01:20:24.593 --> 01:20:26.485
<v Pam DonAroma>being, you know, in the hole.</v>

e8643036-4412-415e-8387-a8e17af552f2/11088-0
01:20:28.285 --> 01:20:33.421
<v Pam DonAroma>And we were informed that even
though, you know, we were hiring</v>

e8643036-4412-415e-8387-a8e17af552f2/11088-1
01:20:33.421 --> 01:20:37.835
<v Pam DonAroma>at competitive wages,
individuals with IDD, we did not</v>

e8643036-4412-415e-8387-a8e17af552f2/11088-2
01:20:37.835 --> 01:20:41.125
<v Pam DonAroma>qualify because 50% of our of
our sales.</v>

e8643036-4412-415e-8387-a8e17af552f2/11096-0
01:20:41.835 --> 01:20:43.395
<v Pam DonAroma>Did not come from out of state.</v>

e8643036-4412-415e-8387-a8e17af552f2/11129-0
01:20:43.395 --> 01:20:48.019
<v Pam DonAroma>I tried to sell him on the fact
that we have Internet sales, but</v>

e8643036-4412-415e-8387-a8e17af552f2/11101-0
01:20:44.625 --> 01:20:44.865
<v aadriennebb@gmail.com>What?</v>

e8643036-4412-415e-8387-a8e17af552f2/11129-1
01:20:48.019 --> 01:20:52.145
<v Pam DonAroma>you had to show that 50% and
Damian, if if I'm forgetting</v>

e8643036-4412-415e-8387-a8e17af552f2/11129-2
01:20:52.145 --> 01:20:55.275
<v Pam DonAroma>something, you know, remind me,
but it was.</v>

e8643036-4412-415e-8387-a8e17af552f2/11132-0
01:20:55.275 --> 01:20:56.675
<v Pam DonAroma>It was pretty frustrating.</v>

e8643036-4412-415e-8387-a8e17af552f2/11144-0
01:20:58.245 --> 01:21:00.922
<v Pam DonAroma>In in the legislation really
doesn't make a whole lot of</v>

e8643036-4412-415e-8387-a8e17af552f2/11144-1
01:21:00.922 --> 01:21:01.485
<v Pam DonAroma>sense to us.</v>

e8643036-4412-415e-8387-a8e17af552f2/11157-0
01:21:06.915 --> 01:21:10.147
<v Scheff, Jordan A>I if I can just add Jordan,
Chef, Commissioner, I circled</v>

e8643036-4412-415e-8387-a8e17af552f2/11157-1
01:21:10.147 --> 01:21:11.595
<v Scheff, Jordan A>around with Katie on this.</v>

e8643036-4412-415e-8387-a8e17af552f2/11204-0
01:21:13.165 --> 01:21:16.799
<v Scheff, Jordan A>KD rock Burns make chief of
staff COO and I think there was</v>

e8643036-4412-415e-8387-a8e17af552f2/11204-1
01:21:16.799 --> 01:21:20.494
<v Scheff, Jordan A>good intentions in that bill and
somewhere along the line in</v>

e8643036-4412-415e-8387-a8e17af552f2/11204-2
01:21:20.494 --> 01:21:23.886
<v Scheff, Jordan A>terms of it going from the
starting point to the finish</v>

e8643036-4412-415e-8387-a8e17af552f2/11204-3
01:21:23.886 --> 01:21:27.520
<v Scheff, Jordan A>line, it got languaged in such a
way that I don't know that</v>

e8643036-4412-415e-8387-a8e17af552f2/11195-0
01:21:24.575 --> 01:21:24.815
<v aadriennebb@gmail.com>Replay.</v>

e8643036-4412-415e-8387-a8e17af552f2/11204-4
01:21:27.520 --> 01:21:28.125
<v Scheff, Jordan A>anybody's.</v>

e8643036-4412-415e-8387-a8e17af552f2/11225-0
01:21:28.125 --> 01:21:32.085
<v Scheff, Jordan A>Really benefiting in any way I
can think of a few places in</v>

e8643036-4412-415e-8387-a8e17af552f2/11225-1
01:21:32.085 --> 01:21:35.649
<v Scheff, Jordan A>Connecticut that might be
candidates, you know, and I</v>

e8643036-4412-415e-8387-a8e17af552f2/11225-2
01:21:35.649 --> 01:21:36.045
<v Scheff, Jordan A>won't.</v>

e8643036-4412-415e-8387-a8e17af552f2/11227-0
01:21:36.045 --> 01:21:36.845
<v Scheff, Jordan A>I won't call them out.</v>

e8643036-4412-415e-8387-a8e17af552f2/11266-0
01:21:37.385 --> 01:21:41.142
<v Scheff, Jordan A>But there are there are, you
know, places here that ship a</v>

e8643036-4412-415e-8387-a8e17af552f2/11266-1
01:21:41.142 --> 01:21:45.090
<v Scheff, Jordan A>lot out of state, but to then
also have 10% of your workforce</v>

e8643036-4412-415e-8387-a8e17af552f2/11266-2
01:21:45.090 --> 01:21:48.719
<v Scheff, Jordan A>meet that criteria and do that.
I'm not aware of anybody</v>

e8643036-4412-415e-8387-a8e17af552f2/11266-3
01:21:48.719 --> 01:21:52.730
<v Scheff, Jordan A>participating in the program. So
finding out who sponsored the</v>

e8643036-4412-415e-8387-a8e17af552f2/11266-4
01:21:52.730 --> 01:21:53.685
<v Scheff, Jordan A>bill and their.</v>

e8643036-4412-415e-8387-a8e17af552f2/11281-0
01:21:53.685 --> 01:21:56.278
<v Scheff, Jordan A>Intent and maybe trying to see
if we can get that language</v>

e8643036-4412-415e-8387-a8e17af552f2/11281-1
01:21:56.278 --> 01:21:56.585
<v Scheff, Jordan A>change.</v>

e8643036-4412-415e-8387-a8e17af552f2/11298-0
01:21:56.665 --> 01:21:59.324
<v Scheff, Jordan A>I'm sorry if you want to
consider seeing that language</v>

e8643036-4412-415e-8387-a8e17af552f2/11298-1
01:21:59.324 --> 01:22:02.224
<v Scheff, Jordan A>change so that it actually has
benefit 'cause. I think it's</v>

e8643036-4412-415e-8387-a8e17af552f2/11298-2
01:22:02.224 --> 01:22:02.465
<v Scheff, Jordan A>also.</v>

e8643036-4412-415e-8387-a8e17af552f2/11306-0
01:22:03.205 --> 01:22:05.639
<v Scheff, Jordan A>There, there's some language in
there about whether you're for</v>

e8643036-4412-415e-8387-a8e17af552f2/11306-1
01:22:05.639 --> 01:22:06.605
<v Scheff, Jordan A>profit or not-for-profit.</v>

e8643036-4412-415e-8387-a8e17af552f2/11310-0
01:22:07.495 --> 01:22:08.975
<v Scheff, Jordan A>Which impacts as well, so.</v>

e8643036-4412-415e-8387-a8e17af552f2/11339-0
01:22:11.125 --> 01:22:14.231
<v Scheff, Jordan A>We, we, we we need to see more.
But I do think that while it was</v>

e8643036-4412-415e-8387-a8e17af552f2/11339-1
01:22:14.231 --> 01:22:17.384
<v Scheff, Jordan A>well intended, the outcomes have
been disappointing, not just for</v>

e8643036-4412-415e-8387-a8e17af552f2/11339-2
01:22:17.384 --> 01:22:19.725
<v Scheff, Jordan A>upam, but for anybody who's
really looked at it.</v>

e8643036-4412-415e-8387-a8e17af552f2/11351-0
01:22:22.025 --> 01:22:24.985
<v Lisa Weisinger>Is there something that we can
do, Jordan to help with that?</v>

e8643036-4412-415e-8387-a8e17af552f2/11380-0
01:22:24.985 --> 01:22:28.048
<v Lisa Weisinger>Because we seem to be putting a
lot of pressure on or some</v>

e8643036-4412-415e-8387-a8e17af552f2/11380-1
01:22:28.048 --> 01:22:31.421
<v Lisa Weisinger>pressure on the the legislators,
and no one seems to know what's</v>

e8643036-4412-415e-8387-a8e17af552f2/11380-2
01:22:31.421 --> 01:22:34.743
<v Lisa Weisinger>going on or where that bill came
from and who added that at the</v>

e8643036-4412-415e-8387-a8e17af552f2/11380-3
01:22:34.743 --> 01:22:35.625
<v Lisa Weisinger>very last minute.</v>

e8643036-4412-415e-8387-a8e17af552f2/11393-0
01:22:37.165 --> 01:22:39.842
<v Lisa Weisinger>But it really defeats the
purpose of of the reason why it</v>

e8643036-4412-415e-8387-a8e17af552f2/11393-1
01:22:39.842 --> 01:22:41.965
<v Lisa Weisinger>was set up in the 1st place.
There isn't any.</v>

e8643036-4412-415e-8387-a8e17af552f2/11420-0
01:22:42.045 --> 01:22:45.426
<v Lisa Weisinger>There isn't any company that can
meet all the criteria that</v>

e8643036-4412-415e-8387-a8e17af552f2/11420-1
01:22:45.426 --> 01:22:48.863
<v Lisa Weisinger>they've asked for and we've
we're leaving money on the table</v>

e8643036-4412-415e-8387-a8e17af552f2/11420-2
01:22:48.863 --> 01:22:51.285
<v Lisa Weisinger>where people like Pam and Park
and favour.</v>

e8643036-4412-415e-8387-a8e17af552f2/11445-0
01:22:52.695 --> 01:22:58.064
<v Lisa Weisinger>Employing greater than 10% of
those individuals with IDD can't</v>

e8643036-4412-415e-8387-a8e17af552f2/11445-1
01:22:58.064 --> 01:23:02.751
<v Lisa Weisinger>get this money to stay in
business and keep our family</v>

e8643036-4412-415e-8387-a8e17af552f2/11445-2
01:23:02.751 --> 01:23:04.455
<v Lisa Weisinger>members in in a job.</v>

e8643036-4412-415e-8387-a8e17af552f2/11461-0
01:23:06.005 --> 01:23:09.978
<v Lisa Weisinger>So I'm looking for any kind of
help that I can do to support</v>

e8643036-4412-415e-8387-a8e17af552f2/11461-1
01:23:09.978 --> 01:23:11.085
<v Lisa Weisinger>that that change.</v>

e8643036-4412-415e-8387-a8e17af552f2/11485-0
01:23:12.445 --> 01:23:15.151
<v Scheff, Jordan A>Gordon, chef, DDS, Commissioner,
Kevin, can you and Jill take a</v>

e8643036-4412-415e-8387-a8e17af552f2/11485-1
01:23:15.151 --> 01:23:17.814
<v Scheff, Jordan A>look and see if you can trace to
the roots and point people in</v>

e8643036-4412-415e-8387-a8e17af552f2/11485-2
01:23:17.814 --> 01:23:18.405
<v Scheff, Jordan A>the right way?</v>

e8643036-4412-415e-8387-a8e17af552f2/11494-0
01:23:19.165 --> 01:23:20.685
<v Bronson, Kevin>Yeah, Kevin Bronson, dds.</v>

e8643036-4412-415e-8387-a8e17af552f2/11493-0
01:23:20.225 --> 01:23:20.545
<v Jacovino, Shannon>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/11509-0
01:23:20.725 --> 01:23:23.585
<v Bronson, Kevin>Pam, do you happen to have the
bill number off the top of your</v>

e8643036-4412-415e-8387-a8e17af552f2/11509-1
01:23:23.585 --> 01:23:25.445
<v Bronson, Kevin>head? Or if you don't, I can
look it up.</v>

e8643036-4412-415e-8387-a8e17af552f2/11512-0
01:23:26.965 --> 01:23:27.005
<v Pam DonAroma>No.</v>

e8643036-4412-415e-8387-a8e17af552f2/11513-0
01:23:27.045 --> 01:23:27.805
<v Bronson, Kevin>OK, alright.</v>

e8643036-4412-415e-8387-a8e17af552f2/11519-0
01:23:30.675 --> 01:23:31.595
<v Bronson, Kevin>Yes, I can circle back.</v>

e8643036-4412-415e-8387-a8e17af552f2/11523-0
01:23:31.155 --> 01:23:32.795
<v Lisa Weisinger>Kevin, I'll Kevin. I'll send it
to you.</v>

e8643036-4412-415e-8387-a8e17af552f2/11528-0
01:23:33.245 --> 01:23:34.005
<v Bronson, Kevin>Beautiful. Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/11531-0
01:23:34.565 --> 01:23:35.245
<v Lisa Weisinger>Yep, no problem.</v>

e8643036-4412-415e-8387-a8e17af552f2/11533-0
01:23:35.245 --> 01:23:36.365
<v Lisa Weisinger>Thank you for looking it up.</v>

e8643036-4412-415e-8387-a8e17af552f2/11538-0
01:23:38.145 --> 01:23:38.585
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11541-0
01:23:38.785 --> 01:23:40.505
<v Patti Silva>Patty Silva, Council chair.</v>

e8643036-4412-415e-8387-a8e17af552f2/11543-0
01:23:40.545 --> 01:23:41.865
<v Patti Silva>Are you all set, Lisa?</v>

e8643036-4412-415e-8387-a8e17af552f2/11546-0
01:23:42.395 --> 01:23:43.115
<v Lisa Weisinger>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/11552-0
01:23:43.405 --> 01:23:46.845
<v Patti Silva>Yep. We have Diana with her hand
up.</v>

e8643036-4412-415e-8387-a8e17af552f2/11560-0
01:23:48.205 --> 01:23:50.405
<v Diana Mennone>Thanks Diana. Manon, Council
member.</v>

e8643036-4412-415e-8387-a8e17af552f2/11601-0
01:23:50.565 --> 01:23:54.920
<v Diana Mennone>I just wanted to say about the
December meeting, if COVID isn't</v>

e8643036-4412-415e-8387-a8e17af552f2/11601-1
01:23:54.920 --> 01:23:59.410
<v Diana Mennone>really bad, I think it's a great
idea to get together. But I know</v>

e8643036-4412-415e-8387-a8e17af552f2/11601-2
01:23:59.410 --> 01:24:03.560
<v Diana Mennone>from my my own experience that
our holidays have been ruined</v>

e8643036-4412-415e-8387-a8e17af552f2/11601-3
01:24:03.560 --> 01:24:05.125
<v Diana Mennone>pretty much every year.</v>

e8643036-4412-415e-8387-a8e17af552f2/11611-0
01:24:05.405 --> 01:24:10.445
<v Diana Mennone>So I tend to not go out too much
before the holidays.</v>

e8643036-4412-415e-8387-a8e17af552f2/11616-0
01:24:12.875 --> 01:24:13.195
<v Diana Mennone>Thanks.</v>

e8643036-4412-415e-8387-a8e17af552f2/11624-0
01:24:13.215 --> 01:24:17.215
<v Patti Silva>Understood. Yes. Patty Silva,
Council chair PM.</v>

e8643036-4412-415e-8387-a8e17af552f2/11645-0
01:24:17.415 --> 01:24:21.824
<v Patti Silva>Do you have the capability to
host a teens meeting at your</v>

e8643036-4412-415e-8387-a8e17af552f2/11645-1
01:24:21.824 --> 01:24:26.532
<v Patti Silva>location? For those who you know
wouldn't be able to attend in</v>

e8643036-4412-415e-8387-a8e17af552f2/11645-2
01:24:26.532 --> 01:24:27.055
<v Patti Silva>person?</v>

e8643036-4412-415e-8387-a8e17af552f2/11650-0
01:24:30.035 --> 01:24:32.475
<v Pam DonAroma>Damien Damien's our tech guy.</v>

e8643036-4412-415e-8387-a8e17af552f2/11673-0
01:24:35.575 --> 01:24:39.533
<v Damion Williams>We have done like virtual like
walkthroughs and things just so</v>

e8643036-4412-415e-8387-a8e17af552f2/11673-1
01:24:39.533 --> 01:24:43.554
<v Damion Williams>you guys can get some some you
know measure of understanding of</v>

e8643036-4412-415e-8387-a8e17af552f2/11673-2
01:24:43.554 --> 01:24:47.135
<v Damion Williams>you know the equipment we have
and what it's capable of.</v>

e8643036-4412-415e-8387-a8e17af552f2/11680-0
01:24:47.455 --> 01:24:48.775
<v Damion Williams>So yeah, we have done it.</v>

e8643036-4412-415e-8387-a8e17af552f2/11717-0
01:24:48.895 --> 01:24:52.103
<v Damion Williams>It's obviously it's not as ideal
as being in person, but yeah, I</v>

e8643036-4412-415e-8387-a8e17af552f2/11717-1
01:24:52.103 --> 01:24:55.212
<v Damion Williams>mean just for us to introduce
you to some of the stuff we have</v>

e8643036-4412-415e-8387-a8e17af552f2/11717-2
01:24:55.212 --> 01:24:58.222
<v Damion Williams>and how it works and how it
really supports the individuals,</v>

e8643036-4412-415e-8387-a8e17af552f2/11717-3
01:24:58.222 --> 01:24:59.455
<v Damion Williams>I think we could do that.</v>

e8643036-4412-415e-8387-a8e17af552f2/11737-0
01:25:01.325 --> 01:25:05.338
<v Pam DonAroma>Pemdon aroma, Damien. I think
they're referring to can we for</v>

e8643036-4412-415e-8387-a8e17af552f2/11737-1
01:25:05.338 --> 01:25:08.638
<v Pam DonAroma>those people that wanted to
participate, you know,</v>

e8643036-4412-415e-8387-a8e17af552f2/11737-2
01:25:08.638 --> 01:25:09.285
<v Pam DonAroma>virtually.</v>

e8643036-4412-415e-8387-a8e17af552f2/11752-0
01:25:10.375 --> 01:25:13.749
<v Pam DonAroma>In our in our new building, I
believe that you can set</v>

e8643036-4412-415e-8387-a8e17af552f2/11752-1
01:25:13.749 --> 01:25:16.815
<v Pam DonAroma>something up where they can
participate, correct?</v>

e8643036-4412-415e-8387-a8e17af552f2/11756-0
01:25:18.075 --> 01:25:18.595
<v Damion Williams>Certainly we.</v>

e8643036-4412-415e-8387-a8e17af552f2/11758-0
01:25:18.595 --> 01:25:19.275
<v Damion Williams>Yeah, we've done that.</v>

e8643036-4412-415e-8387-a8e17af552f2/11763-0
01:25:20.845 --> 01:25:22.325
<v Patti Silva>So we could host a Council
meeting.</v>

e8643036-4412-415e-8387-a8e17af552f2/11778-0
01:25:23.925 --> 01:25:27.251
<v Patti Silva>There and people who wanted to
call in remotely could do that</v>

e8643036-4412-415e-8387-a8e17af552f2/11778-1
01:25:27.251 --> 01:25:28.645
<v Patti Silva>just like we're doing now.</v>

e8643036-4412-415e-8387-a8e17af552f2/11783-0
01:25:29.595 --> 01:25:30.435
<v Damion Williams>Yeah, that that would work.</v>

e8643036-4412-415e-8387-a8e17af552f2/11786-0
01:25:30.435 --> 01:25:31.435
<v Damion Williams>That, that's that's.</v>

e8643036-4412-415e-8387-a8e17af552f2/11784-0
01:25:30.685 --> 01:25:31.005
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11794-0
01:25:32.715 --> 01:25:36.395
<v Patti Silva>OK. 'cause, we definitely wanna
have that option for everybody.</v>

e8643036-4412-415e-8387-a8e17af552f2/11798-0
01:25:38.965 --> 01:25:39.445
<v Patti Silva>All right.</v>

e8643036-4412-415e-8387-a8e17af552f2/11813-0
01:25:39.445 --> 01:25:45.674
<v Patti Silva>Do you guys want to take a vote
or make a motion that we hold</v>

e8643036-4412-415e-8387-a8e17af552f2/11813-1
01:25:45.674 --> 01:25:48.085
<v Patti Silva>our December meeting at?</v>

e8643036-4412-415e-8387-a8e17af552f2/11816-0
01:25:49.765 --> 01:25:49.925
<v Patti Silva>Pam's.</v>

e8643036-4412-415e-8387-a8e17af552f2/11819-0
01:25:51.485 --> 01:25:52.405
<v Patti Silva>In Pam's ovens.</v>

e8643036-4412-415e-8387-a8e17af552f2/11823-0
01:25:57.945 --> 01:25:59.145
<v Patti Silva>Anybody want to make a motion?</v>

e8643036-4412-415e-8387-a8e17af552f2/11831-0
01:26:04.775 --> 01:26:07.455
<v Christine (Guest)>I'll move that we try to meet in
person.</v>

e8643036-4412-415e-8387-a8e17af552f2/11841-0
01:26:09.005 --> 01:26:11.485
<v Christine (Guest)>At this time, at futures at the
designated meeting time.</v>

e8643036-4412-415e-8387-a8e17af552f2/11845-0
01:26:13.205 --> 01:26:14.165
<v Patti Silva>OK. Is there a second?</v>

e8643036-4412-415e-8387-a8e17af552f2/11847-0
01:26:17.065 --> 01:26:17.545
<v Deidre Toole>I'll 2nd.</v>

e8643036-4412-415e-8387-a8e17af552f2/11857-0
01:26:19.355 --> 01:26:22.035
<v Patti Silva>I think Michael had his hand up
first. Thank you, Deirdre.</v>

e8643036-4412-415e-8387-a8e17af552f2/11859-0
01:26:23.885 --> 01:26:24.485
<v Patti Silva>All right.</v>

e8643036-4412-415e-8387-a8e17af552f2/11872-0
01:26:26.125 --> 01:26:31.735
<v Patti Silva>So all in favor of holding the
December meeting at Futures, say</v>

e8643036-4412-415e-8387-a8e17af552f2/11872-1
01:26:31.735 --> 01:26:32.085
<v Patti Silva>I I.</v>

e8643036-4412-415e-8387-a8e17af552f2/11875-0
01:26:33.825 --> 01:26:33.985
<v Michael Beloff>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11878-0
01:26:33.845 --> 01:26:34.405
<v Patti Silva>Any opposed?</v>

e8643036-4412-415e-8387-a8e17af552f2/11889-0
01:26:36.485 --> 01:26:40.980
<v Patti Silva>There being none, looks like we
will have our December meeting</v>

e8643036-4412-415e-8387-a8e17af552f2/11889-1
01:26:40.980 --> 01:26:41.765
<v Patti Silva>at futures.</v>

e8643036-4412-415e-8387-a8e17af552f2/11896-0
01:26:43.845 --> 01:26:45.605
<v Patti Silva>And Christine, did you have a
question?</v>

e8643036-4412-415e-8387-a8e17af552f2/11909-0
01:26:45.675 --> 01:26:47.958
<v Christine (Guest)>Yes. I was just flipping my
calendar to put it on my</v>

e8643036-4412-415e-8387-a8e17af552f2/11909-1
01:26:47.958 --> 01:26:50.715
<v Christine (Guest)>calendar and I think our meeting
was moved forward to the 12th.</v>

e8643036-4412-415e-8387-a8e17af552f2/11913-0
01:26:52.285 --> 01:26:53.165
<v Christine (Guest)>Because of the holidays.</v>

e8643036-4412-415e-8387-a8e17af552f2/11917-0
01:26:55.015 --> 01:26:55.615
<v Patti Silva>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/11920-0
01:26:55.865 --> 01:26:57.345
<v Christine (Guest)>Those the 12th, not the 19th.</v>

e8643036-4412-415e-8387-a8e17af552f2/11926-0
01:27:00.115 --> 01:27:01.555
<v Christine (Guest)>Shannon says yes to OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11936-0
01:27:02.075 --> 01:27:03.835
<v Patti Silva>Yeah, that's what I yeah, yeah.</v>

e8643036-4412-415e-8387-a8e17af552f2/11940-0
01:27:03.125 --> 01:27:05.725
<v Christine (Guest)>So it's it's supposed to 12th,
not the 19th Pam.</v>

e8643036-4412-415e-8387-a8e17af552f2/11941-0
01:27:05.485 --> 01:27:05.965
<v Patti Silva>Right.</v>

e8643036-4412-415e-8387-a8e17af552f2/11945-0
01:27:08.645 --> 01:27:10.045
<v Patti Silva>Yes, OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11954-0
01:27:10.045 --> 01:27:13.925
<v Patti Silva>So it would be December 12th at
5:00 PM at futures.</v>

e8643036-4412-415e-8387-a8e17af552f2/11957-0
01:27:15.395 --> 01:27:15.955
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11958-0
01:27:16.115 --> 01:27:16.755
<v Patti Silva>So do.</v>

e8643036-4412-415e-8387-a8e17af552f2/11970-0
01:27:18.365 --> 01:27:22.227
<v Patti Silva>Wes, would you need to make the
change for the meeting on the</v>

e8643036-4412-415e-8387-a8e17af552f2/11970-1
01:27:22.227 --> 01:27:22.725
<v Patti Silva>website?</v>

e8643036-4412-415e-8387-a8e17af552f2/11978-0
01:27:24.435 --> 01:27:27.275
<v Tsegai, Wesaneit>For the location, I believe so.</v>

e8643036-4412-415e-8387-a8e17af552f2/11981-0
01:27:28.075 --> 01:27:28.635
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/11989-0
01:27:28.845 --> 01:27:30.685
<v Tsegai, Wesaneit>I will confirm how that helps to
work.</v>

e8643036-4412-415e-8387-a8e17af552f2/11999-0
01:27:31.385 --> 01:27:35.806
<v Patti Silva>Yeah. Kevin, is there any
anything official we need to do</v>

e8643036-4412-415e-8387-a8e17af552f2/11999-1
01:27:35.806 --> 01:27:37.025
<v Patti Silva>other than that?</v>

e8643036-4412-415e-8387-a8e17af552f2/12003-0
01:27:38.565 --> 01:27:39.485
<v Patti Silva>Noticing or.</v>

e8643036-4412-415e-8387-a8e17af552f2/12027-0
01:27:40.885 --> 01:27:44.284
<v Bronson, Kevin>I I'll check, but it might have
to be considered a special</v>

e8643036-4412-415e-8387-a8e17af552f2/12027-1
01:27:44.284 --> 01:27:47.914
<v Bronson, Kevin>meeting and you canceling the
the meeting on the 19th, if that</v>

e8643036-4412-415e-8387-a8e17af552f2/12027-2
01:27:47.914 --> 01:27:48.605
<v Bronson, Kevin>makes sense.</v>

e8643036-4412-415e-8387-a8e17af552f2/12035-0
01:27:49.805 --> 01:27:51.245
<v Christine (Guest)>We already went through that
with the 19th.</v>

e8643036-4412-415e-8387-a8e17af552f2/12029-0
01:27:50.165 --> 01:27:50.245
<v Bronson, Kevin>Just.</v>

e8643036-4412-415e-8387-a8e17af552f2/12044-0
01:27:51.285 --> 01:27:52.605
<v Christine (Guest)>It's already been scheduled as
the 12th.</v>

e8643036-4412-415e-8387-a8e17af552f2/12046-0
01:27:52.285 --> 01:27:53.485
<v Bronson, Kevin>Oh, then, yeah, then no.</v>

e8643036-4412-415e-8387-a8e17af552f2/12055-0
01:27:53.485 --> 01:27:57.525
<v Bronson, Kevin>Then just the change location on
the calendar. Yep.</v>

e8643036-4412-415e-8387-a8e17af552f2/12054-0
01:27:55.745 --> 01:27:56.945
<v Christine (Guest)>It's just the location change.</v>

e8643036-4412-415e-8387-a8e17af552f2/12058-0
01:27:58.215 --> 01:27:58.895
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/12060-0
01:27:59.535 --> 01:28:00.655
<v Patti Silva>Very good, alright.</v>

e8643036-4412-415e-8387-a8e17af552f2/12065-0
01:28:02.165 --> 01:28:03.605
<v Patti Silva>Looking forward to it, Pam.
Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/12074-0
01:28:06.115 --> 01:28:10.435
<v Patti Silva>Alright, so I I think that's it
for tonight.</v>

e8643036-4412-415e-8387-a8e17af552f2/12078-0
01:28:10.435 --> 01:28:11.955
<v Patti Silva>Did anybody have anything else?</v>

e8643036-4412-415e-8387-a8e17af552f2/12087-0
01:28:12.795 --> 01:28:15.235
<v Patti Silva>Oh, Jordan is pm. Is your hand a
legacy?</v>

e8643036-4412-415e-8387-a8e17af552f2/12085-0
01:28:14.515 --> 01:28:14.835
<v Deidre Toole>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/12089-0
01:28:17.105 --> 01:28:17.265
<v Patti Silva>OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/12091-0
01:28:17.265 --> 01:28:17.945
<v Patti Silva>So then Jordan.</v>

e8643036-4412-415e-8387-a8e17af552f2/12096-0
01:28:19.485 --> 01:28:19.965
<v Patti Silva>You're you're.</v>

e8643036-4412-415e-8387-a8e17af552f2/12102-0
01:28:20.145 --> 01:28:22.505
<v Scheff, Jordan A>Damien beat me to the punch in
the chat.</v>

e8643036-4412-415e-8387-a8e17af552f2/12120-0
01:28:22.505 --> 01:28:26.251
<v Scheff, Jordan A>Jordan chef, Commissioner, DDS,
as we've been recording the</v>

e8643036-4412-415e-8387-a8e17af552f2/12120-1
01:28:26.251 --> 01:28:29.185
<v Scheff, Jordan A>meetings for the purposes of
chronicling them.</v>

e8643036-4412-415e-8387-a8e17af552f2/12121-0
01:28:29.945 --> 01:28:31.065
<v Scheff, Jordan A>Damien West.</v>

e8643036-4412-415e-8387-a8e17af552f2/12158-0
01:28:31.305 --> 01:28:34.960
<v Scheff, Jordan A>Kevin and I can maybe meet
offline to make sure that we can</v>

e8643036-4412-415e-8387-a8e17af552f2/12158-1
01:28:34.960 --> 01:28:38.798
<v Scheff, Jordan A>capture what we need to for an
off site meeting without having</v>

e8643036-4412-415e-8387-a8e17af552f2/12158-2
01:28:38.798 --> 01:28:42.453
<v Scheff, Jordan A>to go back to formal minutes and
especially with the bylaws</v>

e8643036-4412-415e-8387-a8e17af552f2/12158-3
01:28:42.453 --> 01:28:44.585
<v Scheff, Jordan A>change and all that, we also
need.</v>

e8643036-4412-415e-8387-a8e17af552f2/12161-0
01:28:44.585 --> 01:28:46.545
<v Scheff, Jordan A>Yeah. So we'll do that offline.</v>

e8643036-4412-415e-8387-a8e17af552f2/12170-0
01:28:47.325 --> 01:28:49.855
<v Scheff, Jordan A>I'm sure we can figure it out,
but I just wanted to make</v>

e8643036-4412-415e-8387-a8e17af552f2/12170-1
01:28:49.855 --> 01:28:50.565
<v Scheff, Jordan A>mention of that.</v>

e8643036-4412-415e-8387-a8e17af552f2/12177-0
01:28:52.335 --> 01:28:53.095
<v Patti Silva>Great. Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/12182-0
01:28:53.095 --> 01:28:55.575
<v Patti Silva>And Deirdre, you have your end
up.</v>

e8643036-4412-415e-8387-a8e17af552f2/12196-0
01:28:56.285 --> 01:28:59.249
<v Deidre Toole>Yes, I'm. I'm down here in
Mystic, so I I don't know where</v>

e8643036-4412-415e-8387-a8e17af552f2/12196-1
01:28:59.249 --> 01:29:00.605
<v Deidre Toole>the oven's and futures are.</v>

e8643036-4412-415e-8387-a8e17af552f2/12202-0
01:29:02.235 --> 01:29:03.955
<v Damion Williams>1158 Broad St.</v>

e8643036-4412-415e-8387-a8e17af552f2/12204-0
01:29:03.955 --> 01:29:04.675
<v Damion Williams>In Middletown.</v>

e8643036-4412-415e-8387-a8e17af552f2/12207-0
01:29:05.235 --> 01:29:05.835
<v Deidre Toole>Middletown, OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/12209-0
01:29:05.835 --> 01:29:06.435
<v Deidre Toole>Great. Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/12213-0
01:29:10.275 --> 01:29:10.595
<v Patti Silva>All right.</v>

e8643036-4412-415e-8387-a8e17af552f2/12214-0
01:29:10.595 --> 01:29:11.755
<v Patti Silva>Anybody else?</v>

e8643036-4412-415e-8387-a8e17af552f2/12223-0
01:29:13.365 --> 01:29:16.125
<v Patti Silva>I think we have some legacy
hands up, OK.</v>

e8643036-4412-415e-8387-a8e17af552f2/12235-0
01:29:18.045 --> 01:29:22.326
<v Patti Silva>Great. If that's it, then does
somebody want to make a motion</v>

e8643036-4412-415e-8387-a8e17af552f2/12235-1
01:29:22.326 --> 01:29:23.085
<v Patti Silva>to adjourn?</v>

e8643036-4412-415e-8387-a8e17af552f2/12241-0
01:29:27.675 --> 01:29:30.395
<v Pam DonAroma>Motion to adjourn. I second the
motion.</v>

e8643036-4412-415e-8387-a8e17af552f2/12246-0
01:29:30.935 --> 01:29:33.015
<v Patti Silva>OK, Adriana and then Pam.</v>

e8643036-4412-415e-8387-a8e17af552f2/12250-0
01:29:34.885 --> 01:29:36.085
<v Patti Silva>OK, all in favor.</v>

e8643036-4412-415e-8387-a8e17af552f2/12263-0
01:29:38.085 --> 01:29:40.445
<v Patti Silva>Hi. OK. We are adjourned.</v>

e8643036-4412-415e-8387-a8e17af552f2/12254-0
01:29:38.145 --> 01:29:38.385
<v Deidre Toole>Hi.</v>

e8643036-4412-415e-8387-a8e17af552f2/12256-0
01:29:39.485 --> 01:29:39.685
<v Damion Williams>Right.</v>

e8643036-4412-415e-8387-a8e17af552f2/12267-0
01:29:40.445 --> 01:29:42.445
<v Patti Silva>It is 633.</v>

e8643036-4412-415e-8387-a8e17af552f2/12272-0
01:29:42.685 --> 01:29:44.005
<v Patti Silva>Thank you everybody.</v>

e8643036-4412-415e-8387-a8e17af552f2/12301-0
01:29:44.005 --> 01:29:47.214
<v Patti Silva>We had a pretty productive
meeting and a great</v>

e8643036-4412-415e-8387-a8e17af552f2/12301-1
01:29:47.214 --> 01:29:51.652
<v Patti Silva>presentation. So we will see you
all next month on November 21st</v>

e8643036-4412-415e-8387-a8e17af552f2/12301-2
01:29:51.652 --> 01:29:55.885
<v Patti Silva>at 5:00 PM at the joint meeting.
All right. Thanks everybody.</v>

e8643036-4412-415e-8387-a8e17af552f2/12309-0
01:29:55.885 --> 01:29:56.925
<v Patti Silva>Have a great night.</v>

e8643036-4412-415e-8387-a8e17af552f2/12314-0
01:29:56.545 --> 01:29:56.905
<v Deidre Toole>Thank you.</v>

e8643036-4412-415e-8387-a8e17af552f2/12317-0
01:29:58.565 --> 01:29:58.925
<v Patti Silva>Bye bye.</v>

e8643036-4412-415e-8387-a8e17af552f2/12316-0
01:29:58.745 --> 01:29:59.565
<v Adrianna Ramirez >Have a great weekend.</v>